Provider Demographics
NPI:1689696403
Name:MILLER, JOSEPH P JR (LSCSW)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:P
Last Name:MILLER
Suffix:JR
Gender:M
Credentials:LSCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:122 S 4TH ST
Mailing Address - Street 2:
Mailing Address - City:MANHATTAN
Mailing Address - State:KS
Mailing Address - Zip Code:66502-6110
Mailing Address - Country:US
Mailing Address - Phone:785-537-8809
Mailing Address - Fax:785-537-8850
Practice Address - Street 1:235 W 7TH ST
Practice Address - Street 2:
Practice Address - City:JUNCTION CITY
Practice Address - State:KS
Practice Address - Zip Code:66441-3594
Practice Address - Country:US
Practice Address - Phone:785-762-4470
Practice Address - Fax:785-762-4495
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-24
Last Update Date:2010-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS11291041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical