Individual
JASON MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC II
Contact information
Practice address
631 S BROOKHURST ST STE 104, ANAHEIM, CA 92804-3510
(714) 620-8131
(714) 620-8132
Mailing address
631 S BROOKHURST ST STE 104, ANAHEIM, CA 92804-3510
(714) 620-8131
(714) 620-8132
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
A064820824
CA
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
12/06/2024
Last updated
04/01/2026
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