Individual
JAMES FITZGERALD MILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CIT
Contact information
Practice address
21089 SOUTH FRONTAGE RD, LACASSINE, LA 70650
(337) 936-9197
(337) 855-1829
Mailing address
PO BOX 580, LAKE CHARLES, LA 70602-0580
(337) 855-9023
(337) 855-1829
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
3139
LA
Other
Enumeration date
06/14/2017
Last updated
06/14/2017
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