Provider Demographics
NPI:1033673256
Name:HILL, ROLAND CLAYTON JR (MA, NCE, LLPC)
Entity Type:Individual
Prefix:MR
First Name:ROLAND
Middle Name:CLAYTON
Last Name:HILL
Suffix:JR
Gender:M
Credentials:MA, NCE, LLPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1532 S CHERRY DR
Mailing Address - Street 2:
Mailing Address - City:STEVENSVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:49127-9660
Mailing Address - Country:US
Mailing Address - Phone:269-428-9004
Mailing Address - Fax:
Practice Address - Street 1:521 STATE ST
Practice Address - Street 2:
Practice Address - City:SAINT JOSEPH
Practice Address - State:MI
Practice Address - Zip Code:49085-1369
Practice Address - Country:US
Practice Address - Phone:269-408-6031
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-23
Last Update Date:2019-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401012993101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor