Individual
DR. JEFFREY LYNN MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ED.D.
Contact information
Practice address
2186 AMBLESIDE DR, CLEVELAND, OH 44106-4620
(216) 721-1400
(216) 721-5640
Mailing address
839 AURORA DR, VERMILION, OH 44089-1026
(216) 644-9671
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
061047
OH
103K00000X
Behavior Analyst
00121
OH
103K00000X
Behavior Analyst
00643
OH
Other
Enumeration date
04/03/2013
Last updated
04/03/2013
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