Individual provider · Type 1 NPI

Jesse D. Miller-Khodik, LPC

Professional Counselor · Waterbury, CT

NPI number 1902426232 Active

Practice location

62 Newton Ter
Waterbury, CT 06708-1919

Call (860) 961-1354 Map

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X4392 (CT)

Professional Counselor: Definition to come...

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About NPI 1902426232

Jesse D. Miller-Khodik, LPC's National Provider Identifier is 1902426232, issued on Apr 16, 2020. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Waterbury, CT. The record was last updated on Feb 5, 2024.