Individual
JAZMIN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
790 E BONITA AVE, POMONA, CA 91767-1906
(626) 625-7207
Mailing address
790 E BONITA AVE, POMONA, CA 91767-1906
(626) 625-7207
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
ASW113490
CA
104100000X
Social Worker
Primary
ASW113490
CA
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
12/02/2019
Last updated
07/03/2023
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