Individual
NATHAN JARVIS MILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
4169 BOONE CREEK RD, LEXINGTON, KY 40509-9712
(859) 379-9721
(859) 813-9244
Mailing address
4169 BOONE CREEK RD, LEXINGTON, KY 40509-9712
(859) 940-6346
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
129918
KY
103T00000X
Psychologist
129918
KY
103TC0700X
Clinical Psychologist
Primary
129918
KY
103TC1900X
Counseling Psychologist
129918
KY
Other
Enumeration date
08/15/2008
Last updated
08/26/2024
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