Individual provider · Type 1 NPI

Mindy Washburn Willis

Addiction (Substance Use Disorder) Counselor · Dayton, OH

NPI number 1306477658 Active

Practice location

5563 Far Hills Ave
Dayton, OH 45429-2225

Call (937) 291-2300 Map

Fax (937) 291-2303

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XLCDCII.161846 (OH)

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

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About NPI 1306477658

Mindy Washburn Willis's National Provider Identifier is 1306477658, issued on Jan 27, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Dayton, OH. The record was last updated on Oct 16, 2025.