person
Jack Philip Miller
Mental Health Counselor in Fort Wayne, Indiana
NPI 1528587680

Jack Philip Miller is a Mental Health Counselor based in Fort Wayne, IN and is specialized in Mental Health. Jack Philip Miller practices in Fort Wayne, IN. The NPI Number for Jack Philip Miller is 1528587680 and holds a License No. (Indiana).

The current practice location address for Jack Philip Miller is 909 E State Blvd, Fort Wayne, IN and can be reached out via phone at 260-482-9125.

Location: 909 E State Blvd, Fort Wayne, IN, 46805-3404
person
Provider Profile Details
NPI Number
1528587680
Provider Name
Jack Philip Miller
Credential
Provider Entity Type
Individual
Gender
Male
Address
909 E State Blvd, Fort Wayne, IN, 46805-3404
Phone Number
260-482-9125
Fax Number
Provider Enumeration Date
09/11/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
909 E State Blvd
City
State
Zip
46805-3404
Phone Number
260-482-9125
Fax Number
person
Provider Business Mailing Address Details
Address
909 E State Blvd
City
State
Zip
46805-3404
Phone Number
260-482-9125
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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