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Miranda De La Cruz, LAC
Counselor in Phoenix, Arizona
NPI 1922741529

Miranda De La Cruz is a Counselor based in Phoenix, AZ. Miranda De La Cruz practices in Phoenix, AZ and has the professional credentials of LAC. The NPI Number for Miranda De La Cruz is 1922741529 and holds a License No. LAC-19694 (Arizona).

The current practice location address for Miranda De La Cruz is 3620 N 3Rd St, Phoenix, AZ and can be reached out via phone at 602-230-7373 and via fax at 602-257-8029.

Location: 3620 N 3Rd St, Phoenix, AZ, 85012-2020
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1922741529
Provider Name
Miranda De La Cruz
Credential
LAC
Provider Entity Type
Individual
Gender
Female
Address
3620 N 3Rd St, Phoenix, AZ, 85012-2020
Phone Number
602-230-7373
Fax Number
602-257-8029
Provider Enumeration Date
04/20/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3620 N 3Rd St
City
Phoenix
State
Arizona
Zip
85012-2020
Phone Number
602-230-7373
Fax Number
602-257-8029
person
Provider Business Mailing Address Details
Address
3620 N 3Rd St
City
Phoenix
State
Arizona
Zip
85012-2020
Phone Number
602-230-7373
Fax Number
602-257-8029
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
LAC-19694 (Arizona)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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