Provider Demographics
NPI:1033258991
Name:MILLS, CHRISTOPHER O
Entity Type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:O
Last Name:MILLS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31770 ALVARADO BLVD
Mailing Address - Street 2:#180
Mailing Address - City:UNION CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94587-3951
Mailing Address - Country:US
Mailing Address - Phone:650-817-9070
Mailing Address - Fax:
Practice Address - Street 1:541 JEFFERSON AVE.
Practice Address - Street 2:202
Practice Address - City:REDWOOD CITY
Practice Address - State:CA
Practice Address - Zip Code:94063
Practice Address - Country:US
Practice Address - Phone:650-871-9070
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-06
Last Update Date:2007-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor