Individual
JASON MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1930 W LINCOLN AVE, GOSHEN, IN 46526-5907
(574) 534-2161
Mailing address
203 KRIDER DR, MIDDLEBURY, IN 46540-9018
(574) 849-6933
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
34009644A
IN
Other
Enumeration date
03/29/2022
Last updated
03/29/2022
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