Individual
MR. JUSTIN CAREY MILLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, LPC
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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