Provider Demographics
NPI:1871796847
Name:HILL, RONALD WARREN (LCDC II)
Entity type:Individual
Prefix:DR
First Name:RONALD
Middle Name:WARREN
Last Name:HILL
Suffix:
Gender:M
Credentials:LCDC II
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 CENTER ST
Mailing Address - Street 2:
Mailing Address - City:HURON
Mailing Address - State:OH
Mailing Address - Zip Code:44839-1601
Mailing Address - Country:US
Mailing Address - Phone:419-602-1470
Mailing Address - Fax:
Practice Address - Street 1:120 CENTER ST
Practice Address - Street 2:
Practice Address - City:HURON
Practice Address - State:OH
Practice Address - Zip Code:44839-1601
Practice Address - Country:US
Practice Address - Phone:419-602-1470
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH061040101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)