Edmund Miranda's National Provider Identifier (NPI) Details
Edmund Miranda, MA, LAC, LPC
NPI: 1437413002
Enumeration Date: 2012-06-28
Last updated: 2022-09-23
Sole Proprietor: NO
Status: active
Postal Address: 5350 TOMAH DR STE 3600, COLORADO SPRINGS, CO
Phone: 970-310-3406
Primary Practice Address: 10755 ELIZABETH WAY, COLORADO SPRINGS, CO
Practice's phone: 719-722-4756