| Doctor Name: | LANCE JOSEPH MIGUEZ |
| NPI Number: | 1023459351 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LPC |
| License Number: | 4343 |
| Business Practice Address: | 12320 Highway 44 Ste 3d Gonzales, LA - 707372202 |
| Business Phone Number: | 2252533357 |
| Business Fax Number: | |
| Mailing Address: | 12320 Highway 44 Ste 3d, GONZALES |
| State: | LA |
| Postal Code: | 707372202 |
| Phone Number: | 2252533357 |
| Fax Number: | |
| NPI Enumeration Date: | 07/15/2013 |
| NPI Last Update Date: | 09/23/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 4343 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |