Individual
ELLEN JO MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
TLMHC
Contact information
Practice address
12247 STRATFORD DR, CLIVE, IA 50325-8147
(515) 212-3568
Mailing address
107 SAINT MARYS CT, STUART, IA 50250-8601
(515) 210-2382
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
117088
IA
Other
Enumeration date
08/03/2023
Last updated
12/29/2025
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