| Doctor Name: | MRS. JENNIFER JO MILLS |
| NPI Number: | 1346609997 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS/PCC |
| License Number: | E.0500151 |
| Business Practice Address: | 360 E Enon Rd Yellow Springs, OH - 453871415 |
| Business Phone Number: | 9375035116 |
| Business Fax Number: | |
| Mailing Address: | 345 E Main St, WEST CARROLLTON |
| State: | OH |
| Postal Code: | 454491307 |
| Phone Number: | 9378662156 |
| Fax Number: | |
| NPI Enumeration Date: | 02/10/2016 |
| NPI Last Update Date: | 02/10/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | E.0500151 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |