Individual
MRS. JESSICA CODY MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
480 EVERSMAN DRIVE, JASPER, IN 47547-0769
(812) 482-3020
(812) 482-6409
Mailing address
800 W 9TH ST, JASPER, IN 47546-2516
(812) 996-8313
(812) 996-5784
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
99058554A
IN
1041C0700X
Clinical Social Worker
Primary
34007960A
IN
Other
Enumeration date
09/26/2013
Last updated
01/20/2021
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