MR. JORDAN DAVID MILLER SUDP NPI 1831805753

NPI Information

  • NPI: 1831805753
  • Provider Name: MR. JORDAN DAVID MILLER, SUDP
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 17150 W MAIN ST STE B
    MONROE, WA
    ZIP 98272
  • Phone: (360) 294-8480

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NPI Details

MR. Jordan David Miller, SUDP is an addiction (substance use disorder) counselor in Monroe, WA. MR. Jordan David Miller, SUDP NPI is 1831805753. 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:

17150 W MAIN ST STE B
MONROE, WA
ZIP 98272-918
Phone: (360) 294-8480

The enumeration date for this NPI number is 1/24/2023 and was last updated on 1/24/2023.

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
1101YA0400XCounselorAddiction (Substance Use Disorder)CP60505994WASHINGTONYes

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: 11/21/2025

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