Individual
MR. JODIE R MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
8211 SUMMA AVE, SUITE F, BATON ROUGE, LA 70809-3471
(225) 761-1970
Mailing address
11580 PERKINS RD, APT 166, BATON ROUGE, LA 70810-1838
(337) 250-5579
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3292
LA
Other
Enumeration date
06/22/2011
Last updated
12/13/2011
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