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Katelynn Renee Miller, MA, LPC, NCC

Counselor in Jackson, MI. Individual provider (NPI-1).

NPI number1124535489
StatusActive
Last updated in NPPESJun 4, 2026

Details

NPI
1124535489
Entity type
Individual (NPI-1)
Name
Katelynn Renee Miller
Credential
MA, LPC, NCC
Sex
Female
Sole proprietor
Yes
Enumeration date
Jan 8, 2018
Certification date
Jun 4, 2026
Last updated
Jun 4, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101Y00000X Counselor6401019111MIYes

Practice location

1200 N West Ave
Jackson, MI 49202-2179

Phone 517-789-1209

Mailing address

2453 Shirley Dr
Jackson, MI 49202-1523

Phone 517-215-0220

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