JOHN A MIRANDA

SAN ANTONIO, TX
NPI1104479930
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103TA0400X Psychologist, Addiction (Substance Use Disorder)
(Licence: TX  115868)
Additional Taxonomies103TC1900X Psychologist, Counseling
(Licence: TX  115868)
Enumeration Date2019-07-21
Last Update Date2021-04-18
Business Address
JOHN A MIRANDA LPC, LCDC
110 E HOUSTON ST
SAN ANTONIO, TX 78205-2990
Phone number: 210-414-4327
Mailing Address
JOHN A MIRANDA LPC, LCDC
5300 ENCANTA ST APT 402
SAN ANTONIO, TX 78233-6459
Phone number: 726-300-4948