Individual provider · Type 1 NPI

Jodi Elaine Miller

Addiction (Substance Use Disorder) Counselor · Coburg, OR

NPI number 1578280889 Active

Practice location

1 Serenity Ln
Coburg, OR 97408-9350

Call (541) 743-5969 Map

Mailing address

5236 Main St Apt 17
Springfield, OR 97478-6268

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XT-22-2048 (OR)

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

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About NPI 1578280889

Jodi Elaine Miller's National Provider Identifier is 1578280889, issued on Oct 26, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Coburg, OR. The record was last updated on Oct 26, 2022.