SearchMaryland171100000X

Jackson Miller, MAC, LAC

NPI 1992240626 · on the registry since 2017 · sole proprietor

Practice

Address
6302 Falls Rd
Suite C
Baltimore, MD 21209
Phone
(443) 604-4157
Organisation at this address
Regen Counseling & Consulting Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
171100000X
171100000X
Licence states on file
MD
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2017-01-04

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 Maryland