Individual
JEREMY R MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, CBT, LSWAIC
Contact information
Practice address
2400 NE 95TH ST, SEATTLE, WA 98115-2426
(206) 525-5050
Mailing address
11500 PINEHURST WAY NE APT 205, SEATTLE, WA 98125-6342
(206) 518-4028
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SC61542752
WA
106S00000X
Behavior Technician
CB61252551
WA
Other
Enumeration date
01/12/2022
Last updated
04/02/2024
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