Jervaughn Miller
Pastoral Counselor
100 E Pine St
Orlando
, Florida 32801-2713
Jervaughn Miller
Pastoral Counselor
100 E Pine St
Orlando
, Florida 32801-2713
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About
Features
Specialties
- Pastoral Counselor
Languages spoken
- English
Location
First Address
- Jervaughn Miller
- 100 E Pine St
- Orlando, FL
- Zip : 32801-2713
- Phone :
Second Address
- Jervaughn Miller
- 100 E Pine St
- Orlando, FL
- Zip : 32801-2713
- Phone : (407) 717-9016
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 101YP1600X | Pastoral Counselor |
National Provider Identifier
| NPI | 1063093300 |
|---|---|
| Provider Name | Jervaughn Miller |
| First Address | Orlando, FL 32801-2713 |
| Second Address | Orlando, FL 32801-2713 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/04/2021 |
| Last Update Date | 19/04/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.