Individual
DR. JONATHAN ROBERT MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
76 WINTER ST, TEAM COORDINATING AGENCY, INC., HAVERHILL, MA 01830-5760
(978) 373-1181
(978) 374-7605
Mailing address
76 WINTER ST, TEAM COORDINATING AGENCY, INC., HAVERHILL, MA 01830-5760
(978) 373-1181
(978) 374-7605
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1384
MA
104100000X
Social Worker
208208
MA
106H00000X
Marriage & Family Therapist
Primary
855
MA
Other
Enumeration date
06/20/2008
Last updated
06/20/2008
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