Vivian Marina Miranda, LAMFT
Marriage & Family Therapist in West Orange, NJ. Individual provider (NPI-1).
NPI number1164088670
StatusActive
Last updated in NPPESMay 10, 2019
Details
- NPI
- 1164088670
- Entity type
- Individual (NPI-1)
- Name
- Vivian Marina Miranda
- Credential
- LAMFT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 10, 2019
- Last updated
- May 10, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 37FA00002200 | NJ | Yes |
Practice location
80 Main St Ste 410West Orange, NJ 07052-5441
Phone 856-772-5809
Mailing address
134 Humboldt St Fl 1East Rutherford, NJ 07073-1713
Phone 201-705-0717
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All 11 Marriage & Family Therapist providers in West Orange · All 2,010 providers in West Orange
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