Individual
DEBRA MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1409 KIRKMAN ST, LAKE CHARLES, LA 70601-5344
(337) 419-3586
(855) 239-9737
Mailing address
1409 KIRKMAN ST, LAKE CHARLES, LA 70601-5344
(337) 419-3586
(855) 239-9737
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/04/2018
Last updated
07/02/2019
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