Doctor Name: | DAVID JOHN HILLMAN |
NPI Number: | 1821248139 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LAC |
License Number: | #1442 |
Business Practice Address: | 306 - 11th St. Walhalla, ND - 582820635 |
Business Phone Number: | 7015493829 |
Business Fax Number: | 7015493829 |
Mailing Address: | P.o. Box 635, WALHALLA |
State: | ND |
Postal Code: | 582820635 |
Phone Number: | 7015493829 |
Fax Number: | 7015493829 |
NPI Enumeration Date: | 09/23/2008 |
NPI Last Update Date: | 09/23/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | #1442 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ND |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |