| Jmiller Therapy Llc | |
|
274 Oak Dr Nw North Canton OH 44720-5327 | |
| (330) 417-0606 | |
| Not Available |
| Full Name | Jmiller Therapy Llc |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 02/27/2024 |
| Last Update Date | 05/24/2024 |
| Certification Date | 05/24/2024 |
| Medicare PECOS PAC ID | 7113460924 |
|---|---|
| Medicare Enrollment ID | O20240621001164 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902662828 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Johanna Erin Miller |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1043426448 PECOS PAC ID: 5991135667 Enrollment ID: I20240621001343 |
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