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Individual

JENNY LYNN MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LAC-BBH-LAC-LIC-4969

Contact information

Practice address
304 4TH AVE E, SUPERIOR, MT 59872-3075
(406) 822-5422
Mailing address
PO BOX 231, SAINT REGIS, MT 59866-0231
(702) 358-8629

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
BBH-LAC-LIC-49692
MT

Other

Enumeration date
07/06/2021
Last updated
07/06/2021
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