Individual
JACQUELINE M MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCADC
Contact information
Practice address
339 W 2ND ST, BOUND BROOK, NJ 08805-1833
(732) 356-1082
(732) 356-6327
Mailing address
339 W 2ND ST, BOUND BROOK, NJ 08805-1833
(732) 356-1082
(732) 356-6327
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37LC00179400
NJ
Other
Enumeration date
06/27/2018
Last updated
06/27/2018
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