WILFRED MIRANDA CCAPP NPI 1124305289

NPI Information

NPI: 1124305289
Provider Name: WILFRED MIRANDA, CCAPP
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
1326 4TH AVE
SAN FRANCISCO, CA
ZIP 94122
Phone: (415) 682-2080
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Wilfred Miranda, CCAPP is an addiction (substance use disorder) counselor in San Francisco, CA. Wilfred Miranda, CCAPP NPI is 1124305289. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1326 4TH AVE
SAN FRANCISCO, CA
ZIP 94122-616
Phone: (415) 682-2080
Fax: (415) 665-4782

The enumeration date for this NPI number is 11/3/2011 and was last updated on 2/12/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	AII054490418	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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