Individual
J EVAN MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1100 ADAMS AVE, PHILADELPHIA, PA 19124-3101
(215) 342-5000
Mailing address
86 REDWOOD DR, RICHBORO, PA 18954-1652
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC001682
PA
Other
Enumeration date
10/12/2020
Last updated
10/09/2024
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