Jack Philip Miller
Jack Philip Miller is a Mental Health Counselor in Fort Wayne, Indiana. Registered with an NPI since 2017.
- In the registry since
- 2017
Practice location Address checks out
909 E State BlvdFort Wayne, IN 46805-3404
Phone: (260) 482-9125
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1528587680 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | September 11, 2017 |
| Last updated in NPPES | September 11, 2017 |
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