Individual
JUSTIN JACOBI MCMILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4035 POWELL ST, SHREVEPORT, LA 71109-7939
(318) 344-7243
Mailing address
4035 POWELL ST, SHREVEPORT, LA 71109-7939
(318) 344-7243
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/24/2023
Last updated
05/30/2023
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