Individual
JEANINE MILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
765 E ROUTE 70, BUILDING A, MARLTON, NJ 08053-2341
(856) 983-3900
Mailing address
12 ELKINS LN, MARLTON, NJ 08053-4916
(856) 797-9260
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
37PC00210700
NJ
Other
Enumeration date
12/06/2006
Last updated
07/08/2007
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