Individual provider · Type 1 NPI

Jessica Willis, MA

Student in an Organized Health Care Education/Training Program · San Diego, CA

NPI number 1891232203 Active

Practice location

2801 Meadow Lark Dr
San Diego, CA 92123-2709

Call (858) 694-4492 Map

Other practice locations

  • 11015 Bloomfield Ave, Santa Fe Springs, CA 90670-4601 · (562) 906-2676

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1891232203

Jessica Willis, MA's National Provider Identifier is 1891232203, issued on Jan 23, 2017. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in San Diego, CA. The record was last updated on Sep 23, 2020.