Individual provider · Type 1 NPI

Jacob Michael Miller

Mental Health Counselor · Fulton, NY

NPI number 1891683710 Active

Practice location

14 Crossroads Dr
Fulton, NY 13069-5009

Mailing address

8339 Falcon Dr
Liverpool, NY 13090-1555

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1891683710

Jacob Michael Miller's National Provider Identifier is 1891683710, issued on Jun 27, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fulton, NY. The record was last updated on Jun 27, 2025.