Organization Name: | JASON A. HILL PROFESSIONAL COUNSELOR |
NPI Number: | 1063813210 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JASON ANTHONY HILL (PROFESSIONAL COUNSELOR) |
Mailing Address: | 605 Osborne St Saint Marys |
State: | GA US |
Postal Code: | 315588410 |
Phone Number: | 9122223851 |
Fax Number: | 9128826804 |
NPI Enumeration Date: | 09/08/2014 |
NPI Last Update Date: | 09/08/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 003437 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |