Lyndsy Mirasola's National Provider Identifier (NPI) Details
Lyndsy Mirasola, LCSW
NPI: 1053719138
Enumeration Date: 2014-12-05
Last updated: 2022-12-16
Sole Proprietor: NO
Status: active
Postal Address: 101 W MCKNIGHT WAY, GRASS VALLEY, CA
Phone: 530-205-3130
Primary Practice Address: 11291 DRAY COURY, GRASS VALLEY, CA
Practice's phone: 530-205-3130