Individual
MS. JESSICA MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2020 E 70TH ST STE 301, SHREVEPORT, LA 71105-5332
(318) 553-5591
(318) 553-5592
Mailing address
1520 LEXINGTON DR, BOSSIER CITY, LA 71111-2086
(318) 401-5367
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
08/28/2018
Last updated
08/05/2024
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