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Kyson Willis
Mental Health Counselor in Ridgecrest, California
NPI 1073148169

Kyson Willis is a Mental Health Counselor based in Ridgecrest, CA and is specialized in Mental Health. Kyson Willis practices in Ridgecrest, CA. The NPI Number for Kyson Willis is 1073148169 and holds a License No. (California).

The current practice location address for Kyson Willis is 1400 N Norma St Ste 127-133, Ridgecrest, CA and can be reached out via phone at 760-499-7406.

Location: 1400 N Norma St Ste 127-133, Ridgecrest, CA, 93555-2575
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073148169
Provider Name
Kyson Willis
Credential
Provider Entity Type
Individual
Gender
Male
Address
1400 N Norma St Ste 127-133, Ridgecrest, CA, 93555-2575
Phone Number
760-499-7406
Fax Number
Provider Enumeration Date
03/09/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1400 N Norma St Ste 127-133
City
Ridgecrest
State
California
Zip
93555-2575
Phone Number
760-499-7406
Fax Number
person
Provider Business Mailing Address Details
Address
1400 N Norma St Ste 127-133
City
Ridgecrest
State
California
Zip
93555-2575
Phone Number
760-499-7406
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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