NPI 1467992750

Donna Ledet-Willis

Practitioner Adult Mental Health Clinic/Center Long Beach, CA

Practice location

Address: 4335 Atlantic Ave, Long Beach, CA 90807-2803
Phone: (522) 216-4900
Fax: (526) 416-1516
Mailing address: 11514 Elvins St, Lakewood, CA 90715-1218

Registered specialties

Adult Mental Health Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QM0850X Licence VN189282 (CA)

Other Clinic/Center providers in California →

Registry record

NPI: 1467992750
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Mar 2017
Record last updated: 6 Mar 2017

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.