Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Jordan David Miller, SUDP

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1831805753

Mr. Jordan David Miller, SUDP is an Addiction (Substance Use Disorder) Counselor in Monroe, Washington. Works from 2 locations. Licensed in Washington.

Licensed in
WA
In the registry since
2023

Practice location Address checks out

17150 W Main St Ste B
Monroe, WA 98272-1918
Phone: (360) 294-8480
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 16104 Goldbar Blvd, Gold Bar, WA 98251-9577 — (425) 698-3443

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence CP60505994 (WA)

Record details

NPI number1831805753
Entity typeIndividual (Type 1)
GenderMale
Credentials SUDP
Sole proprietorNo
NPI enumeratedJanuary 24, 2023
Last updated in NPPESJanuary 24, 2023
Certification dateJanuary 24, 2023

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