Individual
MR. JASON LEE MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
6611 E CENTRAL AVE STE C, WICHITA, KS 67206-1937
(316) 706-5157
(316) 358-7140
Mailing address
705 N DEERFIELD CT, ANDOVER, KS 67002-7986
(316) 706-5157
(316) 358-7713
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LMFT03397
KS
Other
Enumeration date
08/05/2022
Last updated
08/05/2022
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