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Individual

IAN MILLER RODEHORST

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PLPC

Contact information

Practice address
615 CHEVELLE CT, BATON ROUGE, LA 70806-6502
(225) 303-0212
Mailing address
615 CHEVELLE CT, BATON ROUGE, LA 70806-6502
(225) 303-0212

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PLC10602
LA
171M00000X
Case Manager/Care Coordinator
Primary
PLC10602
LA
171M00000X
Case Manager/Care Coordinator

Other

Enumeration date
03/24/2025
Last updated
01/12/2026
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