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
Fax: (318) 221-0216
Website:

Health care specialties

SpecialtyCodeLicense #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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