Miranda Marie Gasca
Counselor, Addiction (Substance Use Disorder) in Los Angeles, CA. Individual provider (NPI-1).
NPI number1013585488
StatusActive
Last updated in NPPESJun 14, 2021
Details
- NPI
- 1013585488
- Entity type
- Individual (NPI-1)
- Name
- Miranda Marie Gasca
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 14, 2021
- Certification date
- Jun 14, 2021
- Last updated
- Jun 14, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | 14773-RAC | CA | Yes |
Practice location
1926 Beverly BlvdLos Angeles, CA 90057-2402
Phone 213-353-1140
Mailing address
1926 Beverly BlvdLos Angeles, CA 90057-2402
Phone 213-353-1140
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