JORDAN DAVID MILLER

MONROE, WA
NPI1831805753
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA  CP60505994)
Enumeration Date2023-01-24
Last Update Date2023-01-24
Business Address
Mr. JORDAN DAVID MILLER SUDP
17150 W MAIN ST STE B
MONROE, WA 98272-1918
Phone number: 360-294-8480
Mailing Address
Mr. JORDAN DAVID MILLER SUDP
909 W MAIN ST STE 102
MONROE, WA 98272-2031
Phone number: 206-552-0882
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