Provider Demographics
NPI:1184819443
Name:MILLER, JENIFER SUE
Entity Type:Individual
Prefix:MISS
First Name:JENIFER
Middle Name:SUE
Last Name:MILLER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:544 PEARL ST
Mailing Address - Street 2:
Mailing Address - City:MONTEREY
Mailing Address - State:CA
Mailing Address - Zip Code:93940-3020
Mailing Address - Country:US
Mailing Address - Phone:831-373-4421
Mailing Address - Fax:831-373-7410
Practice Address - Street 1:544 PEARL ST
Practice Address - Street 2:
Practice Address - City:MONTEREY
Practice Address - State:CA
Practice Address - Zip Code:93940-3020
Practice Address - Country:US
Practice Address - Phone:831-373-4421
Practice Address - Fax:831-373-7410
Is Sole Proprietor?:No
Enumeration Date:2007-09-10
Last Update Date:2007-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist