Individual
JOHN LILLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PLPC, LAC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
6463
LA
101YA0400X
Addiction (Substance Use Disorder) Counselor
1588
LA
101YP2500X
Professional Counselor
Primary
C5124
OR
Other
Enumeration date
03/23/2017
Last updated
12/27/2024
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