TAMMY MIRANDA

SOUTH PORTLAND, ME
NPI1841790458
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: ME  XL4898)
Enumeration Date2018-02-20
Last Update Date2018-04-25
Business Address
TAMMY MIRANDA LCPC-C, CBIS
1486B BROADWAY
SOUTH PORTLAND, ME 04106-2602
Phone number: 207-602-8660
Mailing Address
TAMMY MIRANDA LCPC-C, CBIS
33 SCHOOL ST
OLD ORCHARD BEACH, ME 04064-2234
Phone number: