Individual
KEITH MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
2706 HODGES ST, LAKE CHARLES, LA 70601-7366
(337) 491-1740
Mailing address
708 13TH ST, LAKE CHARLES, LA 70601-7464
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4507
LA
Other
Enumeration date
10/12/2015
Last updated
10/12/2015
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