Individual
JEANETTE MARIE MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCDC
Contact information
Practice address
604 KENT ST, MIDLAND, TX 79701-5805
(432) 413-0384
Mailing address
604 KENT ST, MIDLAND, TX 79701-5805
(432) 413-0384
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
13520
TX
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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