Miranda Paige Wallace
Miranda Paige Wallace is a Counselor in Hurricane, Utah. Registered with an NPI since 2022.
- In the registry since
- 2022
- Specialties on file
- 2
Practice location Address checks out
4 S 2600 W Ste 6Hurricane, UT 84737-3247
Phone: (435) 229-8405
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|---|
| Counselor | Taxonomy 101Y00000X |
Record details
| NPI number | 1164134094 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | December 22, 2022 |
| Last updated in NPPES | December 22, 2022 |
| Certification date | December 20, 2022 |
| Mailing address | 101 S Main St, Hurricane, UT 84737-2631 |
Other providers in Hurricane
-
MS. Susan Diana Jaeger, LPC
155 N 1580 W, Hurricane, UT 84737-2067 · (262) 442-7557
-
Alyssa Phillips
4 S 2600 W Ste 6, Hurricane, UT 84737-3247 · (435) 627-3566