Individual provider · Type 1 NPI
Donna Ledet-Willis
Adult Mental Health Clinic/Center · Long Beach, CA
NPI number
1467992750
Active
Practice location
4335 Atlantic Ave
Long Beach, CA 90807-2803
Fax (526) 416-1516
Mailing address
11514 Elvins St
Lakewood, CA 90715-1218
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Mental Health Clinic/Center Primary | 261QM0850X | VN189282 (CA) |
Adult Mental Health Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
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About NPI 1467992750
Donna Ledet-Willis's National Provider Identifier is 1467992750, issued on Mar 6, 2017. The primary taxonomy on file is Adult Mental Health Clinic/Center (261QM0850X), and the practice location is in Long Beach, CA. The record was last updated on Mar 6, 2017.