Provider Demographics
NPI:1770381592
Name:PEARSON, MILTON JUIAN
Entity type:Individual
Prefix:
First Name:MILTON
Middle Name:JUIAN
Last Name:PEARSON
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6748 SANDY DR
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45426-3141
Mailing Address - Country:US
Mailing Address - Phone:937-245-0250
Mailing Address - Fax:
Practice Address - Street 1:6748 SANDY DR
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45426-3141
Practice Address - Country:US
Practice Address - Phone:937-245-0250
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-06
Last Update Date:2025-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor