Individual
MS. JESSICA LYNN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
10630 LITTLE PATUXENT PKWY, SUITE 209, COLUMBIA, MD 21044-3264
(301) 580-4856
Mailing address
10630 LITTLE PATUXENT PKWY, SUITE 209, COLUMBIA, MD 21044-3264
(301) 580-4856
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC4590
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
406755000
—
MD
05
—
406755002
—
MD
Enumeration date
06/24/2010
Last updated
06/23/2015
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