Individual provider · Type 1 NPI

Jose Fredericko Miller Jr., SUDRC

Addiction (Substance Use Disorder) Counselor · Pasadena, CA

NPI number 1104769512 Active

Practice location

44 S Mentor Ave
Pasadena, CA 91106-2902

Call (626) 795-9127 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X24801 (CA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

26 other providers at this address

Other addiction (substance use disorder) counselor providers in Pasadena

See all in Pasadena →

About NPI 1104769512

Jose Fredericko Miller Jr., SUDRC's National Provider Identifier is 1104769512, issued on Apr 10, 2026. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Pasadena, CA. The record was last updated on Apr 10, 2026.