Individual
JESSICA I MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1063 MCGAW AVE, IRVINE, CA 92614-5505
(714) 653-5097
Mailing address
22336 CAMINITO ARROYO SECO, LAGUNA HILLS, CA 92653-1149
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
08/15/2011
Last updated
10/23/2020
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