John Clark Miller, LCSW

NPI #1174643738 in Manzanita, Oregon

Provider Information

NPI Number: 1174643738
Entity Type: Individual
Name: John Clark Miller, LCSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Mar 29, 2007
Last Updated: Apr 23, 2020

Practice Location

Address: 60 LANEDA AVENUE
Address 2: SUITE 202
City: Manzanita
State: Oregon
ZIP Code: 97130-0000
Phone: (971) 324-0061

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Social Worker - Clinical — Clinical	1041C0700X	Primary

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