Miller, Jennifer Katherine

Miller, Jennifer Katherine is an sole proprietor health care provider with primary practice located at 5201 Great America Pkwy Ste 320 , Santa Clara CA 95054-1140. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Miller, Jennifer Katherine can be contacted via phone (323) 205-7088.

Contact Information

Primary practice address
5201 Great America Pkwy Ste 320 Santa Clara CA 95054-1140
Phone: (323) 205-7088
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X F.1200004 Ohio
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X F1200004-SUPV Ohio
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 50030 California

Profile Details

NPI number 1184822272
LBN Legal business name Miller, Jennifer Katherine
Credentials M.A. LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 10th, 2007
Last updated Jan 16th, 2024 - about 11 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184822272 NPPES
Ohio MEDICAID 2846675
Ohio MEDICAID 08258

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