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NPI Code Detail

MEDICARE: MIRANDA DANIELLE WALTON MA, LPCC-S

MEDICARE: MIRANDA DANIELLE WALTON MA, LPCC-S
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorE.20011625OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1477099273
Entity Type Code : Individual
Provider Name (Legal Business Name) : MIRANDA DANIELLE WALTON MA, LPCC-S
Provider Business Mailing Address
First Line : PO BOX 3103
Second Line :
City : ZANESVILLE
State : OH
Zip : 43702-3103
Country : US
Telephone Number : 740-214-6443
Fax Number : 888-626-6496
Provider Business Practice Location Address
First Line : 58 N 5TH ST STE 102
Second Line :
City : ZANESVILLE
State : OH
Zip : 43701-3527
Country : US
Telephone Number : 740-214-6443
Fax Number : 888-626-6496
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/17/2017
Last Update Date : 09/07/2023

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