Individual ProviderJessica Rae MillerCounselorBehavioral Health & Social Service ProvidersPractice Address121 S Martin L King Blvd, Suite 172, Las Vegas, NV 89106-4309(702) 486-7410PECOS EnrollmentBased on the most recent information from CMS, provider Jessica Rae Miller does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1760792980Provider TypeIndividualFull NameMiller, Jessica RaeTitleMissCredentialM.A.GenderFemaleSole ProprietorYesEnumeration Date10/21/2010Last Updated10/21/2010Contact InformationPractice LocationPractice Address121 S Martin L King Blvd, Suite 172, Las Vegas, NV 89106-4309Phone(702) 486-7410Fax(702) 486-8880Mailing LocationMailing Address121 S Martin L King Blvd, Suite 172, Las Vegas, NV 89106-4309Phone(702) 486-7410Fax(702) 486-8880Provider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer