Jmiller Therapy Llc | |
274 Oak Dr Nw North Canton OH 44720-5327 | |
(330) 417-0606 | |
Not Available |
Full Name | Jmiller Therapy Llc |
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Speciality | Counselor |
Location | 274 Oak Dr Nw, North Canton, Ohio |
Authorized Official Name and Position | Johanna E Miller (PRESIDENT) |
Authorized Official Contact | 3304170606 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Jmiller Therapy Llc 274 Oak Dr Nw North Canton OH 44720-5327 Ph: (330) 417-0606 | Jmiller Therapy Llc 274 Oak Dr Nw North Canton OH 44720-5327 Ph: (330) 417-0606 |
NPI Number | 1902662828 |
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Provider Enumeration Date | 02/27/2024 |
Last Update Date | 05/24/2024 |
Certification Date | 05/24/2024 |
Medicare PECOS PAC ID | 7113460924 |
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Medicare Enrollment ID | O20240621001164 |
Identifier | Type | State | Issuer |
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1902662828 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Provider Name | Johanna Erin Miller |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1043426448 PECOS PAC ID: 5991135667 Enrollment ID: I20240621001343 |
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