Lynette Willis in Pt Richmond - Addiction (substance Use Disorder)

Lynette Willis - NPI 1609053776

Lynette Willis is a Addiction (substance Use Disorder) in Pt Richmond, California. Lynette Willis practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Lynette Willis is 1609053776. The last update date is 2008-02-05.

Lynette Willis's current location address is 28 Cottage Ave Apt 12, Pt Richmond, California. You can contact this provider via phone number 5102339686. The mailing address for Lynette Willis is 28 Cottage Ave Apt 12, Pt Richmond, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Lynette Willis
Address 28 Cottage Ave Apt 12, Pt Richmond, California
Phone Number 5102339686
Fax Number
Sole Proprietor N
Credentials --

NPI Number Detail

NPI Number 1609053776
Provider Enumeration Date 2008-01-30
Last Updated Date 2008-02-05

Provider Mailing Address Detail

Address 28 Cottage Ave Apt 12
City Pt Richmond
State California (CA)
Post Code 948013977
Phone Number 5102339686
Fax Number

Provider's Primary Taxonomy Detail

Speciality Addiction (substance Use Disorder)
Taxonomy 101Ya0400X
Definition:
A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions.

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FAQs about Lynette Willis

What is the unique identifier code issued to Lynette Willis by the Centers for Medicare & Medicaid Services?

The Lynette Willis has been assigned the NPI (National Provider Identifier) 1609053776. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Lynette Willis is geographically located?

The Lynette Willis is physically situated at the following location: 28 Cottage Ave Apt 12, Pt Richmond, CA, 948013977.

What is Lynette Willis's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Lynette Willis's specialized field of practice is Addiction (substance Use Disorder), and the corresponding taxonomy code that categorizes this area of specialization is 101Ya0400X.

On what date was the 1609053776 assigned to Lynette Willis?

The Lynette Willis was issued its 1609053776 on 2008-01-30, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to Lynette Willis, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Lynette Willis, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-02-05.

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