Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YP2500X | Professional Counselor | E.0001167 | OH |
N | 102L00000X | Psychologist | 1875 | OH |
N | 103T00000X | Psychologist | 1875 | OH |
NPI | 1013037282 |
---|---|
Provider Name | Mr. David Kent Mills |
First Address | Troy, OH 45373-3721 |
Second Address | Greenville, OH 45331-1913 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/03/2007 |
Last Update Date | 08/07/2007 |