ELIAS JABREEL MILLER

LOUISVILLE, KY
NPI1386243608
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: KY  251932)
Enumeration Date2020-10-19
Last Update Date2020-10-19
Business Address
ELIAS JABREEL MILLER
1700 CARGO CT
LOUISVILLE, KY 40299-1938
Phone number: 502-749-6764
Mailing Address
ELIAS JABREEL MILLER
3430 WIZARD AVE
LOUISVILLE, KY 40215-2749
Phone number: 502-777-0657