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

Mr. Jose Fredericko Miller Jr., SUDRC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1104769512

Mr. Jose Fredericko Miller Jr., SUDRC is an Addiction (Substance Use Disorder) Counselor in Pasadena, California. Licensed in California. Registered with an NPI since 2026.

Licensed in
CA
In the registry since
2026

Practice location Address checks out

44 S Mentor Ave
Pasadena, CA 91106-2902
Phone: (626) 795-9127
Show map & directions

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

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 24801 (CA)

Record details

NPI number1104769512
Entity typeIndividual (Type 1)
GenderMale
Credentials SUDRC
Sole proprietorNo
NPI enumeratedApril 10, 2026
Last updated in NPPESApril 10, 2026
Certification dateApril 10, 2026

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