Individual
MARTYRON MILLER I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2000 LAKESHORE DR, NEW ORLEANS, LA 70148-0001
(504) 462-4821
Mailing address
2000 LAKESHORE PO BOX 1059, NEW ORLEANS, LA 70148-0001
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/19/2016
Last updated
01/19/2016
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