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Individual

JADEA ALACIA MILLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1 W 36TH ST N STE 1, TULSA, OK 74106-1703
(918) 425-4200
(918) 425-4202
Mailing address
4024 W 45TH PL, TULSA, OK 74107-6338
(918) 853-1463

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC07311
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
173057933
OK
Enumeration date
12/23/2014
Last updated
12/16/2025
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