Individual
MR. MICHAEL TERRILLION
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW, LPC, CEAP, MHA
Contact information
Practice address
28071 MAIN STREET, LACOMBE, LA 70445-0943
(985) 264-2625
(985) 882-6014
Mailing address
28071 MAIN ST, LACOMBE, LA 70445-6433
(985) 264-2625
(985) 882-6014
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
3058
LA
1041C0700X
Clinical Social Worker
Primary
8062
LA
Other
Enumeration date
02/13/2008
Last updated
01/06/2017
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