NPI 1063862175

Thomas Willis, CAC

Practitioner Addiction (Substance Use Disorder) Counselor West Monroe, LA

Practice location

Address: 1416 Natchitoches St, West Monroe, LA 71292-3751
Phone: (318) 855-8773
Fax: (318) 855-8779

Registered specialties

Addiction (Substance Use Disorder) Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YA0400X Licence 1544 (LA)

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Registry record

NPI: 1063862175
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Jun 2016
Record last updated: 20 Jun 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.