Individual provider · Type 1 NPI

Johnny Miller

Mental Health Counselor · Bay St. Louis, MS

NPI number 1710607288 Active

Practice location

819B Central Ave
Bay St. Louis, MS 39520-3913

Fax (228) 467-8521

Mailing address

PO Box 18679
Hattiesburg, MS 39404-8679

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X3626 (MS)

Mental Health Counselor: Definition to come...

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About NPI 1710607288

Johnny Miller's National Provider Identifier is 1710607288, issued on Sep 2, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Bay St. Louis, MS. The record was last updated on Sep 2, 2022.