Jack Philip Miller is a mental health counselor in Fort Wayne, IN. Jack Philip Miller NPI is 1528587680. 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:
909 E STATE BLVD
FORT WAYNE, IN
ZIP 46805-404
Phone: (260) 482-9125
The enumeration date for this NPI number is 9/11/2017 and was last updated on 9/11/2017.