Individual
JESSICA MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1100 WALNUT ST, OWENSBORO, KY 42301-2956
(270) 689-6500
Mailing address
PO BOX 1637, OWENSBORO, KY 42302-1637
(270) 689-6500
(270) 689-6677
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
CSW.09928535
CO
1041C0700X
Clinical Social Worker
Primary
LCSW00001337
KY
106S00000X
Behavior Technician
—
—
Other
Enumeration date
06/12/2013
Last updated
06/29/2026
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