Individual
MS. JESSICA SLOVER MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC, LMHC
Contact information
Practice address
4101 JOHN DEERE RD, MOLINE, IL 61265-9951
(309) 581-2031
Mailing address
4909 107TH AVE, MILAN, IL 61264-5215
(309) 265-8852
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
106271
IA
101YP2500X
Professional Counselor
Primary
180013544
IL
Other
Enumeration date
04/27/2021
Last updated
04/23/2024
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