Individual
JORDAN K MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1709 BRAGAW ST, ANCHORAGE, AK 99508-3436
(907) 792-4121
Mailing address
5650 LAKE OTIS PKWY APT H173, ANCHORAGE, AK 99507-1783
(614) 216-2845
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/02/2020
Last updated
07/02/2020
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