Individual
JACQUELINE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
2200 E WILLIAMS FIELD RD STE 200, GILBERT, AZ 85295-0764
(602) 888-4149
Mailing address
4193 S ETHAN PL, CHANDLER, AZ 85248-5066
(602) 295-7535
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LAC-21289
AZ
Other
Enumeration date
08/17/2022
Last updated
08/17/2022
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