Miranda, Vivian Marina
Miranda, Vivian Marina is an sole proprietor health care provider with primary practice located at 80 Main St Ste 410 , West Orange NJ 07052-5441. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Miranda, Vivian Marina can be contacted via phone (856) 772-5809.Contact Information
Primary practice address
80 Main St Ste 410
West Orange NJ 07052-5441
Phone: (856) 772-5809
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 37FA00002200 | New Jersey |
Profile Details
| NPI number | 1164088670 |
|---|---|
| LBN Legal business name | Miranda, Vivian Marina |
| Credentials | LAMFT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 10th, 2019 |
| Last updated | May 10th, 2019 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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