Individual
JAMEY LEE MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
414 N LINCOLN AVE, JEROME, ID 83338-2300
(208) 481-0905
Mailing address
PO BOX 681, HAGERMAN, ID 83332-0681
(208) 481-0905
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
8694
ID
Other
Enumeration date
02/12/2022
Last updated
02/12/2022
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