Individual
JOHN MILLER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4336 NORTH BLVD, SUITE 104, BATON ROUGE, LA 70806-3920
(225) 380-7295
Mailing address
9136 W POMONA DR, BATON ROUGE, LA 70815-1050
(225) 380-7295
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/17/2016
Last updated
10/17/2016
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