MIRANDA CHICKLIS

SANTA FE, NM
NPI1255852596
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: NM  0179741)
Enumeration Date2017-06-27
Last Update Date2017-06-27
Business Address
MIRANDA CHICKLIS LMHC
4001 OFFICE COURT DR STE 102
SANTA FE, NM 87507-4903
Phone number: 505-983-8225
Mailing Address
MIRANDA CHICKLIS LMHC
125 RIDGECREST DR
SANTA FE, NM 87505-6334
Phone number:
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