Individual
JACQUELINE MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8455 BLUME PKWY, HARRISBURG, NC 28075-4507
(704) 965-1803
(980) 258-0014
Mailing address
8455 BLUME PKWY, HARRISBURG, NC 28075-4507
(704) 965-1803
(980) 258-0014
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MHL-03-260
NC
Other
Enumeration date
09/16/2025
Last updated
09/16/2025
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