Miciotto, Chris Alan
Miciotto, Chris Alan is an individual health care provider with primary practice located at 864 Olive St , Shreveport LA 71104-2159. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Miciotto, Chris Alan can be contacted via phone (318) 222-0759.Contact Information
Primary practice address
864 Olive St
Shreveport LA 71104-2159
Phone: (318) 222-0759
Fax: (318) 221-0216
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 2914 | Louisiana |
Profile Details
NPI number | 1730212648 |
---|---|
LBN Legal business name | Miciotto, Chris Alan |
Credentials | MSW LCSW ACSW |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 13th, 2007 |
Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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