Individual
JENNIFER MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
107C VISTA OAKS DR UNIT C, LEXINGTON, SC 29072-8230
(803) 727-3882
(803) 490-1568
Mailing address
107C VISTA OAKS DR UNIT C, LEXINGTON, SC 29072-8230
(803) 727-3882
(803) 490-1568
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1760096465
NPI
SC
01
—
1912250069
NPI- JENNIFER MILLER
—
01
—
1922563741
NPI
SC
05
—
1922563741
—
SC
05
—
PC1736
—
SC
05
—
PC2647
—
SC
01
—
PC2729
LEGACY ID
SC
Enumeration date
10/25/2012
Last updated
07/27/2023
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