Individual
MS. JENNIFER KATHERINE MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-IT
Contact information
Practice address
710 PENNSYLVANIA AVE, SHEBOYGAN, WI 53081-4645
(920) 694-1264
(920) 694-1299
Mailing address
PO BOX 1207, SHEBOYGAN, WI 53082-1207
(920) 694-1264
(920) 694-1299
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1668-226
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1668-226
—
WI
Enumeration date
05/16/2014
Last updated
05/16/2014
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