JAMESON JUAN MILES B.S. NPI 1417207242

NPI Information

NPI: 1417207242
Provider Name: JAMESON JUAN MILES, B.S.
Classification: Counselor - 101Y00000X
Entity Type: Individual
Address:
2789 ORTIZ AVE
FORT MYERS, FL
ZIP 33905
Phone: (239) 791-1586
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Jameson Juan Miles, B.S. is a counselor in Fort Myers, FL. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. Jameson Juan Miles, B.S. NPI is 1417207242. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2789 ORTIZ AVE
FORT MYERS, FL
ZIP 33905-806
Phone: (239) 791-1586
Fax: (239) 278-9058

The enumeration date for this NPI number is 9/19/2012 and was last updated on 9/19/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101Y00000X	Counselor		M420430771460	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	M420430771460	OTHER	FLORIDA	DRIVER'S LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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