Kenneth Joseph Miller Jr., LMFT
Marriage & Family Therapist in Orange Park, FL. Individual provider (NPI-1).
NPI number1548072069
StatusActive
Last updated in NPPESJan 22, 2025
Details
- NPI
- 1548072069
- Entity type
- Individual (NPI-1)
- Name
- Kenneth Joseph Miller Jr.
- Credential
- LMFT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 22, 2025
- Certification date
- Jan 22, 2025
- Last updated
- Jan 22, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | MT5119 | FL | Yes |
Practice location
1532 Kingsley Ave Ste 112-114Orange Park, FL 32073-4538
Phone 239-690-6906
Mailing address
177 Eagle Rock DrPonte Vedra, FL 32081-8394
Phone 904-710-9295
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All 10 Marriage & Family Therapist providers in Orange Park · All 2,903 providers in Orange Park
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