Miller, Jackie Charlene

Miller, Jackie Charlene is an sole proprietor health care provider with primary practice located at 233 12Th St Ste 911-D , Columbus GA 31901-2462. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Counseling. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Miller, Jackie Charlene can be contacted via phone (706) 566-0805.

Contact Information

Primary practice address
233 12Th St Ste 911-D Columbus GA 31901-2462
Phone: (706) 566-0805
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X
Behavioral Health & Social Service Providers / Counseling 103TC1900X LPC010997 Georgia

Profile Details

NPI number 1861001117
LBN Legal business name Miller, Jackie Charlene
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 23rd, 2020
Last updated May 3rd, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1861001117 NPPES
Georgia MEDICAID 196506062019

Popular Providers