JORDAN R MILLER

MESA, AZ
NPI1174182778
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101Y00000X Counselor
(Licence: AZ  LAC-6046T)
Enumeration Date2019-06-07
Last Update Date2019-06-11
Business Address
JORDAN R MILLER LAC
3048 E BASELINE RD STE 107
MESA, AZ 85204-7287
Phone number: 480-452-2556
Mailing Address
JORDAN R MILLER LAC
5359 E ELMWOOD ST
MESA, AZ 85205-5440
Phone number: 480-528-1784