Individual
JEREMY MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMHC
Contact information
Practice address
165 QUINCY ST, BROCKTON, MA 02302-2988
(508) 897-2100
Mailing address
630 SMITHFIELD RD APT 409, NORTH PROVIDENCE, RI 02904-2928
(508) 577-2904
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LMHC10000874
MA
Other
Enumeration date
01/18/2017
Last updated
10/16/2023
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