Provider Demographics
NPI:1215359021
Name:MILLS, RONALD LEE JR (LPC, LCAS-A)
Entity Type:Individual
Prefix:MR
First Name:RONALD
Middle Name:LEE
Last Name:MILLS
Suffix:JR
Gender:M
Credentials:LPC, LCAS-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1405 CRAG BURN LN
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27604-6907
Mailing Address - Country:US
Mailing Address - Phone:919-368-3231
Mailing Address - Fax:
Practice Address - Street 1:1405 CRAG BURN LN
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27604-6907
Practice Address - Country:US
Practice Address - Phone:919-368-3231
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-13
Last Update Date:2014-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3020-A101YA0400X
NC8464101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)