Sedrick Terrell Milton II
Peer Specialist in Independence, LA. Individual provider (NPI-1).
NPI number1417596271
StatusActive
Last updated in NPPESDec 26, 2019
Details
- NPI
- 1417596271
- Entity type
- Individual (NPI-1)
- Name
- Mr. Sedrick Terrell Milton II
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 26, 2019
- Certification date
- Dec 26, 2019
- Last updated
- Dec 26, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 175T00000X | Peer Specialist | – | LA | Yes |
Practice location
51472 Harrison Milton LnIndependence, LA 70443-2269
Phone 985-974-8983
Mailing address
8326 Kelwood AveBaton Rouge, LA 70806-4803
Phone 225-929-9783
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