Provider Demographics
NPI:1740411065
Name:HILL, ANTHONY (PASTORAL COUNSELING)
Entity Type:Individual
Prefix:MR
First Name:ANTHONY
Middle Name:
Last Name:HILL
Suffix:
Gender:M
Credentials:PASTORAL COUNSELING
Other - Prefix:
Other - First Name:TONY
Other - Middle Name:
Other - Last Name:HILL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:AMFT
Mailing Address - Street 1:3941 PARK DR # 20670
Mailing Address - Street 2:
Mailing Address - City:EL DORADO HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:95762-4549
Mailing Address - Country:US
Mailing Address - Phone:916-275-5504
Mailing Address - Fax:
Practice Address - Street 1:751 CENTRAL PARK DR APT 212
Practice Address - Street 2:
Practice Address - City:ROSEVILLE
Practice Address - State:CA
Practice Address - Zip Code:95678-3515
Practice Address - Country:US
Practice Address - Phone:209-271-0880
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-08-04
Last Update Date:2024-03-11
Deactivation Date:2014-04-15
Deactivation Code:
Reactivation Date:2014-12-16
Provider Licenses
StateLicense IDTaxonomies
CAL11402552101YP1600X
CA208103459101YP2500X
CA06332101YA0400X
CAAMFT145730106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1730319609OtherAMERICAN ACADEMY OF PAIN MANAGEMENT
CAAMFT145730OtherBOARD OF BEHAVIORAL SCIENCE DEPARTMENT OF CONSUMER AFFAIRS