Miranda, Kristin

Miranda, Kristin is an individual health care provider with primary practice located at 777 Central Ave Ste 17 , Highland Park IL 60035-3246. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Miranda, Kristin can be contacted via phone (847) 441-5600.

Contact Information

Primary practice address
777 Central Ave Ste 17 Highland Park IL 60035-3246
Phone: (847) 441-5600
Fax: (847) 441-7968
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X Illinois
Behavioral Health & Social Service Providers / Mental Health 101YM0800X Illinois

Profile Details

NPI number 1386493690
LBN Legal business name Miranda, Kristin
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2024
Last updated May 17th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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