| Doctor Name: | JASON THOMAS MILLER |
| NPI Number: | 1144398322 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MSW, LCSW |
| License Number: | 002081 |
| Business Practice Address: | 5401 College Blvd Suite 106 Leawood, KS - 662111923 |
| Business Phone Number: | 9136368566 |
| Business Fax Number: | 8885153097 |
| Mailing Address: | 5401 College Boulevard, Suite 106 LEAWOOD |
| State: | KS |
| Postal Code: | 662111617 |
| Phone Number: | 9136368566 |
| Fax Number: | 8885153097 |
| NPI Enumeration Date: | 12/04/2006 |
| NPI Last Update Date: | 10/31/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 002081 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MO |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |