Jemall Miles
Community/Behavioral Health in Sicklerville, NJ. Individual provider (NPI-1).
NPI number1982189882
StatusActive
Last updated in NPPESSep 27, 2018
Details
- NPI
- 1982189882
- Entity type
- Individual (NPI-1)
- Name
- Jemall Miles
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 27, 2018
- Last updated
- Sep 27, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
| 101YM0800X | Counselor, Mental Health | – | – |
Practice location
1600 Liberty PlSicklerville, NJ 08081-5705
Phone 856-861-5448
Mailing address
1600 Liberty PlSicklerville, NJ 08081-5705
Phone 856-861-5448
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