Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225C00000X | Rehabilitation Counselor |
NPI | 1063744480 |
---|---|
Provider Name | Theresa Ann Hill |
First Address | Paradise, CA 95969-3280 |
Second Address | Roseburg, OR 97470-3309 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/02/2010 |
Last Update Date | 29/10/2020 |