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Individual
MR. JEFFRY LOYD MILLER
Active
Individual
MR. JEFFRY LOYD MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS LCSW LMFT LPC CAD
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1659
WI
101YP2500X
Professional Counselor
Primary
713
WI
1041C0700X
Clinical Social Worker
3220
WI
106H00000X
Marriage & Family Therapist
400
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39302200
—
WI
Enumeration date
11/21/2006
Last updated
06/17/2009
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