JASON JEROME MILLER

SAN DIEGO, CA
NPI1609546308
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  A065590125)
Enumeration Date2021-09-15
Last Update Date2025-04-29
Business Address
JASON JEROME MILLER RADT I
4930 NAPLES ST
SAN DIEGO, CA 92110-3820
Phone number: 619-269-8969
Mailing Address
JASON JEROME MILLER RADT I
823 GATEWAY CENTER WAY
SAN DIEGO, CA 92102-4541
Phone number: 619-515-2300