Individual provider · Type 1 NPI

Lynette Willis

Addiction (Substance Use Disorder) Counselor · Richmond, CA

NPI number 1609053776 Active

Practice location

820 23rd St
Richmond, CA 94804-1338

Call (510) 229-5000 Map

Fax (510) 235-3112

Mailing address

28 Cottage Ave Apt 12
Port Richmond, CA 94801-3977

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 1609053776

Lynette Willis's National Provider Identifier is 1609053776, issued on Jan 30, 2008. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Richmond, CA. The record was last updated on Feb 5, 2008.