Individual provider · Type 1 NPI

Jacqueline Miller, LAC

Mental Health Counselor · Gilbert, AZ

NPI number 1144948936 Active

Practice location

2200 E Williams Field Rd Ste 200
Gilbert, AZ 85295-0764

Mailing address

4193 S Ethan Pl
Chandler, AZ 85248-5066

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XLAC-21289 (AZ)

Mental Health Counselor: Definition to come...

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About NPI 1144948936

Jacqueline Miller, LAC's National Provider Identifier is 1144948936, issued on Aug 17, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Gilbert, AZ. The record was last updated on Aug 17, 2022.