There is very limited access to Mill Creek. It can accessed by T357 a road off rt38. The lower end can be reach by t524 were it enters the Allegheny River. The lower end is like a canyon and very remote. Route t 524 is dirt switch back road if you approach from Rockland.
Mill Creek is usually stock twice a year, once before season and once in season.
Bait fishing is the usual method on Mill Creek, but a general purpose fly like an Adams works well . There is an Iron furnace just up stream from where t524 meets Mill creek. This part of the stream is fast moving while the part near Kahle lake is a meadow stream.