Provider Demographics
NPI:1083043798
Name:MILLS, ESTHER (MA, LAC)
Entity Type:Individual
Prefix:MS
First Name:ESTHER
Middle Name:
Last Name:MILLS
Suffix:
Gender:F
Credentials:MA, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:218 BIRCH AVE
Mailing Address - Street 2:
Mailing Address - City:PRINCETON
Mailing Address - State:NJ
Mailing Address - Zip Code:08542-3106
Mailing Address - Country:US
Mailing Address - Phone:609-306-5280
Mailing Address - Fax:609-306-5280
Practice Address - Street 1:218 BIRCH AVE
Practice Address - Street 2:
Practice Address - City:PRINCETON
Practice Address - State:NJ
Practice Address - Zip Code:08542-3106
Practice Address - Country:US
Practice Address - Phone:609-306-5280
Practice Address - Fax:609-306-5280
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-03
Last Update Date:2013-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37AC00066400101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional