Individual
JAMIE RAY MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
102 N 9TH ST, FREDERICK, OK 73542-5417
(580) 335-3320
Mailing address
405 S 13TH ST, FREDERICK, OK 73542-5806
(580) 335-4879
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
OK
Other
Enumeration date
11/15/2012
Last updated
11/15/2012
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