Individual provider · Type 1 NPI

Lisa Annette Willis

Addiction (Substance Use Disorder) Counselor · Cleveland, OH

NPI number 1073178273 Active

Practice location

8411 Broadway Ave
Cleveland, OH 44105

Call (216) 441-0200 Map

Fax (216) 441-3637

Mailing address

4158 Bexley Blvd
South Euclid, OH 44121-2711

Other practice locations

  • 8411 Broadway Ave, Cleveland, OH 44105 · (216) 441-0200

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1073178273

Lisa Annette Willis's National Provider Identifier is 1073178273, issued on May 3, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Cleveland, OH. The record was last updated on May 3, 2019.