Provider Demographics
NPI:1891942066
Name:HILL, VERONICA A (CSAC)
Entity Type:Individual
Prefix:
First Name:VERONICA
Middle Name:A
Last Name:HILL
Suffix:
Gender:F
Credentials:CSAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 ROBERSON STREET
Mailing Address - Street 2:
Mailing Address - City:CARRBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27510-2367
Mailing Address - Country:US
Mailing Address - Phone:919-966-9803
Mailing Address - Fax:919-966-9169
Practice Address - Street 1:400 ROBERSON STREET
Practice Address - Street 2:
Practice Address - City:CARRBORO
Practice Address - State:NC
Practice Address - Zip Code:27510-2367
Practice Address - Country:US
Practice Address - Phone:919-966-9803
Practice Address - Fax:919-966-9169
Is Sole Proprietor?:No
Enumeration Date:2008-08-19
Last Update Date:2008-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1991101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)