Jada Miller

NPI 1437568540 · on the registry since 2014

Practice

Address: 3005 Riverside Dr
Suite 102
Beloit, WI 53511
Phone: (608) 346-8315
Fax: (608) 313-9452
Organisation at this address: Beloit Psychotherapy
Bouc Family Wellness Center, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: 101YP2500X
101YP2500X
Licence states on file: WI
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2014-08-04

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 Wisconsin