Jordan Miller

NPI #1548705403 in Randolph, Massachusetts

Provider Information

NPI Number: 1548705403
Entity Type: Individual
Name: Jordan Miller
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Jan 3, 2017
Last Updated: Aug 30, 2017

Practice Location

Address: 41 PACELLA PARK DR
City: Randolph
State: Massachusetts
ZIP Code: 02368-1755
Phone: (781) 440-0400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X
Case Manager/Care Coordinator	171M00000X
Counselor	101Y00000X	Primary

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