Miller, Jared John

Miller, Jared John is an individual health care provider with primary practice located at 101 Cirby Hills Dr , Roseville CA 95678-4360. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Counselor, Other Service Providers / Case Manager/Care Coordinator. Behavioral Health & Social Service Providers / Marriage & Family Therapist is his primary health care specialty. Miller, Jared John can be contacted via phone (916) 787-8834.

Contact Information

Primary practice address
101 Cirby Hills Dr Roseville CA 95678-4360
Phone: (916) 787-8834
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 115298 California
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X California
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X

Profile Details

NPI number 1104204593
LBN Legal business name Miller, Jared John
Credentials LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2015
Last updated Jan 17th, 2020 - about 6 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 1104204593 NPPES
California MEDICAID 942519001

Popular Providers