NPI | 1053147470 |
---|---|
Doing Business As | JEREMY K MILLER THERAPY |
Entity Type | Organization |
Authorized Contact | JEREMY KEITH MILLER Owner 567-742-7117 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
101YM0800X Counselor, Mental Health | |
Enumeration Date | 2024-09-11 |
Last Update Date | 2024-10-30 |