person
Jordan R Miller, LAC
Counselor in Mesa, Arizona
NPI 1174182778

Jordan R Miller is a Counselor based in Mesa, AZ. Jordan R Miller practices in Mesa, AZ and has the professional credentials of LAC. The NPI Number for Jordan R Miller is 1174182778 and holds a License No. LAC-6046T (Arizona).

The current practice location address for Jordan R Miller is 3048 E Baseline Rd Ste 107, Mesa, AZ and can be reached out via phone at 480-452-2556.

Location: 3048 E Baseline Rd Ste 107, Mesa, AZ, 85205-5440
person
Provider Profile Details
NPI Number
1174182778
Provider Name
Jordan R Miller
Credential
LAC
Provider Entity Type
Individual
Gender
Male
Address
3048 E Baseline Rd Ste 107, Mesa, AZ, 85205-5440
Phone Number
480-452-2556
Fax Number
Provider Enumeration Date
06/07/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3048 E Baseline Rd Ste 107
City
State
Zip
85204-7287
Phone Number
480-452-2556
Fax Number
person
Provider Business Mailing Address Details
Address
3048 E Baseline Rd Ste 107
City
State
Zip
85204-7287
Phone Number
480-452-2556
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
License No.
LAC-6046T (Arizona)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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