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Individual

MR. VERNON L MILLS SR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LAC/CCS/CCDP-D

Contact information

Practice address
401 RAINBOW DR UNIT 35, PINEVILLE, LA 71360-6979
(318) 484-6772
(318) 487-5703
Mailing address
3804 SPENCER ST, ALEXANDRIA, LA 71302-2242
(318) 484-3913
(318) 484-3913

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
CCS # 017
LA
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LAC # 713
LA
101YM0800X
Mental Health Counselor
CCDP-D #1101
LA

Other

Enumeration date
09/20/2006
Last updated
10/28/2010
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