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MR. MICHAEL DUPONT MILLIKEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
301 E CYPRESS ST, LAFAYETTE, LA 70501-8009
(337) 739-3059
Mailing address
301 E CYPRESS ST, LAFAYETTE, LA 70501-8009
(337) 739-3059

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
3680
LA
101YP2500X
Professional Counselor
Primary
3680
LA

Other

Enumeration date
05/02/2011
Last updated
03/18/2015
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