JUSTINE NICOLE MIRACLE NPI 1225420607

NPI Information

Justine Nicole Miracle is a mental health counselor in Boulder, CO. Justine Nicole Miracle NPI is 1225420607. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1333 IRIS AVE
BOULDER, CO
ZIP 80304-226
Phone: (303) 908-4797

The enumeration date for this NPI number is 2/23/2015 and was last updated on 2/26/2015.

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:

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