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Jason Miller
Mental Health Counselor in Goshen, Indiana
NPI 1275283491

Jason Miller is a Mental Health Counselor based in Middlebury, IN and is specialized in Mental Health. Jason Miller practices in Goshen, IN. The NPI Number for Jason Miller is 1275283491 and holds a License No. 34009644A (Indiana).

The current practice location address for Jason Miller is 1930 W Lincoln Ave, Goshen, IN and can be reached out via phone at 574-534-2161.

Location: 1930 W Lincoln Ave, Goshen, IN, 46540-9018
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1275283491
Provider Name
Jason Miller
Credential
Provider Entity Type
Individual
Gender
Male
Address
1930 W Lincoln Ave, Goshen, IN, 46540-9018
Phone Number
574-534-2161
Fax Number
Provider Enumeration Date
03/29/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1930 W Lincoln Ave
City
Goshen
State
Indiana
Zip
46526-5907
Phone Number
574-534-2161
Fax Number
person
Provider Business Mailing Address Details
Address
1930 W Lincoln Ave
City
Goshen
State
Indiana
Zip
46526-5907
Phone Number
574-534-2161
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
34009644A (Indiana)
Definition
Definition to come...
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