Individual
MR. JEFFRY LOYD MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS LCSW LMFT LPC CAD
Contact information
Practice address
128 E OLIN AVE, SUITE 100, MADISON, WI 53713
(608) 252-1320
(608) 252-1333
Mailing address
128 E OLIN AVE, SUITE 100, MADISON, WI 53713
(608) 252-1320
(608) 252-1333
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1659
WI
101YP2500X
Professional Counselor
Primary
713
WI
1041C0700X
Clinical Social Worker
3220
WI
106H00000X
Marriage & Family Therapist
400
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39302200
—
WI
Enumeration date
11/21/2006
Last updated
06/17/2009
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