Provider Demographics
NPI:1245585223
Name:MILLER, JENNIFER FARRAH (MS, LMFT, LMHC)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:FARRAH
Last Name:MILLER
Suffix:
Gender:F
Credentials:MS, LMFT, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:790 JUNO OCEAN WALK STE 404
Mailing Address - Street 2:
Mailing Address - City:JUNO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33408-1123
Mailing Address - Country:US
Mailing Address - Phone:561-386-5499
Mailing Address - Fax:
Practice Address - Street 1:415 S FEDERAL HWY
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33435-4931
Practice Address - Country:US
Practice Address - Phone:954-487-1224
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-17
Last Update Date:2019-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH12950101YM0800X
FLMT2941106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health