Individual
JESSICA JEANNE MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
5340 N CLARK ST STE 212, CHICAGO, IL 60640-2120
(773) 750-3505
Mailing address
4925 N WINCHESTER AVE APT 2, CHICAGO, IL 60640-6945
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
04/30/2014
Last updated
06/26/2020
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