Individual provider · Type 1 NPI

Paul Daniel Willis Jr., RADTI

Addiction (Substance Use Disorder) Counselor · Antioch, CA

NPI number 1811861040 Active

Practice location

1408 A St
Antioch, CA 94509-2331

Mailing address

4141 Rockford Dr
Antioch, CA 94509-6973

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XR1621290725 (CA)

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

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About NPI 1811861040

Paul Daniel Willis Jr., RADTI's National Provider Identifier is 1811861040, issued on Oct 1, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Antioch, CA. The record was last updated on Oct 1, 2025.