Individual
JARRETT MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
100 GREEN LN STE B, BRISTOL, PA 19007-5609
(267) 878-0240
Mailing address
84 BLACK PINE LN, LEVITTOWN, PA 19054-2109
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
PC017866
—
101YM0800X
Mental Health Counselor
PC017866
—
101YP2500X
Professional Counselor
Primary
PC017866
PA
Other
Enumeration date
11/20/2024
Last updated
11/20/2024
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