Lewis John Millsap III, MA
Counselor, Addiction (Substance Use Disorder) in Peru, IN. Individual provider (NPI-1).
NPI number1760655849
StatusActive
Last updated in NPPESApr 9, 2008
Details
- NPI
- 1760655849
- Entity type
- Individual (NPI-1)
- Name
- Lewis John Millsap III
- Credential
- MA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 9, 2008
- Last updated
- Apr 9, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | 00270 | IN | Yes |
Practice location
655 E Main StPeru, IN 46970-2662
Phone 765-472-1931 · Fax 765-472-1945
Mailing address
655 E Main StPeru, IN 46970-2662
Phone 765-472-1931 · Fax 765-472-1945
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