Miller, Jean

Miller, Jean is an individual health care provider with primary practice located at 330 Lakeview Dr , Goshen IN 46528-9365. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Miller, Jean can be contacted via phone (574) 533-1234.

Contact Information

Primary practice address
330 Lakeview Dr Goshen IN 46528-9365
Phone: (574) 533-1234
Fax: (574) 537-2652
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 34002284A Indiana
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 35001251A Indiana

Profile Details

NPI number 1477589208
LBN Legal business name Miller, Jean
Credentials LCSW, LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2006
Last updated Mar 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477589208 NPPES
Indiana Other 000000202159 ANTHEM

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