MR. Jordan David Miller, SUDP
NPI #1831805753 in Monroe, Washington
Provider Information
- NPI Number
- 1831805753
- Entity Type
- Individual
- Name
- MR. Jordan David Miller, SUDP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Credential
- SUDP
- Enumeration Date
- Jan 24, 2023
- Last Updated
- Jan 24, 2023
Practice Location
- Address
- 17150 W MAIN ST STE B
- City
- Monroe
- State
- Washington
- ZIP Code
- 98272-1918
- Phone
- (360) 294-8480
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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