Doctor Name: | DR. JENNIE LYNN MILLER |
NPI Number: | 1144493164 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PHD |
License Number: | 1137 |
Business Practice Address: | 913 King St 913 King St. Chadron, NE - 693372629 |
Business Phone Number: | 3084326799 |
Business Fax Number: | 3084326799 |
Mailing Address: | Po Box 826, 913 King St. CHADRON |
State: | NE |
Postal Code: | 693370826 |
Phone Number: | 3084326799 |
Fax Number: | 3084326799 |
NPI Enumeration Date: | 04/10/2008 |
NPI Last Update Date: | 04/10/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 1137 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NE |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |