Individual
JESSICA MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
110B BRANCHWOOD DR, JACKSONVILLE, NC 28546
(910) 938-9833
Mailing address
110B BRANCHWOOD DR, JACKSONVILLE, NC 28546
(910) 938-9833
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
P011228
NC
Other
Enumeration date
03/27/2017
Last updated
03/27/2017
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