Individual provider · Type 1 NPI

Jackie L. Miller, LPC

Professional Counselor · Beloit, WI

NPI number 1922549567 Active · reactivated Feb 22, 2019

Practice location

1517 E Huebbe Pkwy Ste A
Beloit, WI 53511-1795

Call (608) 291-5891 Map

Fax (608) 713-9040

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X7632-125 (WI)
Nurse's Aide 376K00000XNA131596 (WI)
Professional Counselor Primary 101YP2500X7632-125 (WI)

Professional Counselor: Definition to come...

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About NPI 1922549567

Jackie L. Miller, LPC's National Provider Identifier is 1922549567, issued on Mar 15, 2017. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Beloit, WI. The record was last updated on Apr 9, 2020.