MEDICARE: MS. JENNIFER MARY MILLER LMFT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225400000X	Rehabilitation Practitioner
2	106H00000X	Marriage & Family Therapist	LMFT50790	CA

General Provider Information

NPI Number	:	1023153467
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JENNIFER MARY MILLER LMFT

Provider Business Mailing Address
First Line	:	5266 HOLLISTER AVENUE
Second Line	:	SUITE 324
City	:	SANTA BARBARA
State	:	CA
Zip	:	93111-2037
Country	:	US
Telephone Number	:	805-448-1569
Fax Number	:

Provider Business Practice Location Address
First Line	:	5266 HOLLISTER AVENUE
Second Line	:	SUITE 324
City	:	SANTA BARBARA
State	:	CA
Zip	:	93111-2037
Country	:	US
Telephone Number	:	805-448-1569
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/21/2007
Last Update Date	:	03/22/2019

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