Individual
JAKIRA TANAE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCMHC, LCAS-A
Contact information
Practice address
109 OAK TOWNE DR APT D, GREENVILLE, NC 27858-7049
(252) 327-2728
Mailing address
3209 STONEBURG CT, GREENSBORO, NC 27409-8838
(252) 327-2728
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
28641
NC
101YM0800X
Mental Health Counselor
Primary
20503
NC
101YM0800X
Mental Health Counselor
A20503
NC
101YP2500X
Professional Counselor
20503
NC
101YP2500X
Professional Counselor
Primary
A20503
NC
Other
Enumeration date
04/13/2023
Last updated
05/13/2026
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