Individual
MRS. VICKIE C MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.C.L.M.F.T.,L.A.C
Contact information
Practice address
3018 OLD MINDEN RD STE 1205, BOSSIER CITY, LA 71112-2446
(318) 746-5636
(318) 746-5636
Mailing address
3025 LONE OAK DR, SHREVEPORT, LA 71118-2453
(318) 347-2221
(318) 861-2162
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
18524
TX
101Y00000X
Counselor
2642
LA
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
974
LA
106H00000X
Marriage & Family Therapist
304
LA
Other
Enumeration date
06/03/2007
Last updated
04/10/2019
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