Individual
JACKIE MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10907 MARTINDALE RD, HOUSTON, TX 77048-2011
(713) 417-9092
Mailing address
10907 MARTINDALE RD, HOUSTON, TX 77048-2011
(713) 417-9092
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
16625
TX
101YA0400X
Addiction (Substance Use Disorder) Counselor
16625
TX
Other
Enumeration date
10/20/2023
Last updated
10/20/2023
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