Individual provider · Type 1 NPI

Jordan R. Miller, LAC

Counselor · Mesa, AZ

NPI number 1174182778 Active

Practice location

3048 E Baseline Rd Ste 107
Mesa, AZ 85204-7287

Call (480) 452-2556 Map

Mailing address

5359 E Elmwood St
Mesa, AZ 85205-5440

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XLAC-6046T (AZ)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1174182778

Jordan R. Miller, LAC's National Provider Identifier is 1174182778, issued on Jun 7, 2019. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Mesa, AZ. The record was last updated on Jun 11, 2019.