MEDICARE: JULIE A MILLS CADC-CAS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor	C20981214	CA

General Provider Information

NPI Number	:	1811262827
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIE A MILLS CADC-CAS

Provider Business Mailing Address
First Line	:	PO BOX 873
Second Line	:
City	:	GARDEN GROVE
State	:	CA
Zip	:	92842-0873
Country	:	US
Telephone Number	:	714-884-2428
Fax Number	:

Provider Business Practice Location Address
First Line	:	16146 OAK SPRINGS DR
Second Line	:
City	:	RAMONA
State	:	CA
Zip	:	92065-4267
Country	:	US
Telephone Number	:	714-884-2428
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/09/2012
Last Update Date	:	06/09/2025

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