Individual
JACOB ROBERT MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC I
Contact information
Practice address
777 NW 9TH ST STE 102, CORVALLIS, OR 97330-6169
(541) 768-6769
(541) 768-9771
Mailing address
777 NW 9TH ST STE 102, CORVALLIS, OR 97330-6169
(541) 768-6769
(541) 768-9771
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
15-02-08
OR
Other
Enumeration date
05/17/2021
Last updated
05/17/2021
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