Individual provider · Type 1 NPI
Jordan David Miller, SUDP
Addiction (Substance Use Disorder) Counselor · Monroe, WA
NPI number
1831805753
Active
Practice location
17150 W Main St Ste B
Monroe, WA 98272-1918
Mailing address
909 W Main St Ste 102
Monroe, WA 98272-2031
Other practice locations
- 16104 Goldbar Blvd, Gold Bar, WA 98251-9577 · (425) 698-3443
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | CP60505994 (WA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1831805753
Jordan David Miller, SUDP's National Provider Identifier is 1831805753, issued on Jan 24, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Monroe, WA. The record was last updated on Jan 24, 2023.