Individual
JASON THOMAS MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW, LCSW
Contact information
Practice address
1915 S RALSTON AVE, INDEPENDENCE, MO 64052-2023
(913) 636-8566
(888) 515-3097
Mailing address
5401 COLLEGE BOULEVARD, SUITE 106, LEAWOOD, KS 66211-1617
(913) 636-8566
(888) 515-3097
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
002081
MO
101YM0800X
Mental Health Counselor
Primary
4001
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002081
LCSW
MO
05
—
1144398322
—
MO
01
—
4001
LSCSW
KS
Enumeration date
12/04/2006
Last updated
02/13/2025
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