Individual
PROF. JOHN KENNETH MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D., LMFT
Contact information
Practice address
1414 KINCAID ST, SUITE 207, EUGENE, OR 97401-3737
(541) 338-4336
Mailing address
1414 KINCAID ST, SUITE 207, EUGENE, OR 97401-3737
(541) 338-4336
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
T0379
OR
Other
Enumeration date
01/14/2008
Last updated
01/14/2008
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