Individual
MR. MICHAEL EDWARD MILLARD II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
15406 MERIDIAN E, SUITE 202, PUYALLUP, WA 98375-9504
(425) 275-1383
(253) 604-0261
Mailing address
15406 MERIDIAN E, SUITE 202, PUYALLUP, WA 98375-9504
(425) 275-1383
(253) 604-0261
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LF60192673
WA
Other
Enumeration date
04/18/2011
Last updated
04/18/2011
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