Jordan Miller, LAC

NPI 1174182778 · on the registry since 2019 · sole proprietor

Practice

Address: 3048 E Baseline Rd Ste 107
Mesa, AZ 85204
Phone: (480) 452-2556
Organisation at this address: D3c Dental,Plc
Time For Health Llc
New Vida Medical Llc
Kingdom Behavior Care
Healing Life Counseling
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 86

Registry record

Primary taxonomy: 101Y00000X
101Y00000X
Licence states on file: AZ
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2019-06-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona