Individual provider · Type 1 NPI

Gerald Willis, F.S.A.C.

Addiction (Substance Use Disorder) Counselor · Highland Park, MI

NPI number 1952428286 Active

Practice location

13220 Woodward Ave
Highland Park, MI 48203-3610

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 1952428286

Gerald Willis, F.S.A.C.'s National Provider Identifier is 1952428286, issued on Mar 23, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Highland Park, MI. The record was last updated on Jul 26, 2007.