Jerry E Miller, MS, LCPC
Counselor, Professional in Hamilton, MT. Individual provider (NPI-1).
NPI number1790795367
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1790795367
- Entity type
- Individual (NPI-1)
- Name
- Jerry E Miller
- Credential
- MS, LCPC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 8, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 987 | MT | Yes |
Practice location
209 N 10th StHamilton, MT 59840-2357
Phone 406-532-9101 · Fax 406-363-4498
Mailing address
T-9 Fort MissoulaMissoula, MT 59804-7202
Phone 406-532-8400
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