Individual
MR. JUSTIN CAREY MILLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, LPC
Contact information
Practice address
2002 E OSBORN RD # 101, PHOENIX, AZ 85016-7236
(602) 237-5549
Mailing address
1040 E OSBORN RD UNIT 203, PHOENIX, AZ 85014-5249
(480) 307-0627
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LAC-20226
AZ
101YP2500X
Professional Counselor
Primary
LPC-23147
AZ
Other
Enumeration date
12/28/2023
Last updated
04/07/2026
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