Individual
JEROME MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2570 73RD ST, URBANDALE, IA 50322-4700
(515) 215-4205
(515) 216-4827
Mailing address
1005 KINGMAN CIR, DES MOINES, IA 50311-3519
(515) 865-7783
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
16018
IA
Other
Enumeration date
09/10/2014
Last updated
06/20/2025
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