Individual provider · Type 1 NPI

Frederick Willis

Peer Specialist · Bronx, NY

NPI number 1669194346 Active

Practice location

3584 Jerome Ave
Bronx, NY 10467-1006

Call (718) 653-1537 Map

Mailing address

79 Glenridge Rd
Glenville, NY 12302-4523

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000X4259 (NY)

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1669194346

Frederick Willis's National Provider Identifier is 1669194346, issued on Sep 19, 2022. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Bronx, NY. The record was last updated on Sep 19, 2022.