Individual provider · Type 1 NPI

Jessy Miller, CADC

Addiction (Substance Use Disorder) Counselor · Wilkes Barre, PA

NPI number 1205302122 Active

Practice location

335 S Franklin St
Wilkes Barre, PA 18702-3808

Fax (570) 762-9013

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X7128 (PA)

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

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About NPI 1205302122

Jessy Miller, CADC's National Provider Identifier is 1205302122, issued on Oct 18, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Wilkes Barre, PA. The record was last updated on Sep 20, 2023.