person
Edwin W Willis
Addiction (Substance Use Disorder) Counselor in Boston, Massachusetts
NPI 1124561451

Edwin W Willis is an Addiction (Substance Use Disorder) Counselor based in Boston, MA and is specialized in Addiction (Substance Use Disorder). Edwin W Willis practices in Boston, MA. The NPI Number for Edwin W Willis is 1124561451 and holds a License No. 1810 LADC1 (Massachusetts).

The current practice location address for Edwin W Willis is 774 Albany St, Boston, MA and can be reached out via phone at 617-534-5613 and via fax at 617-534-6171.

Location: 774 Albany St, Boston, MA, 02118-2600
person
Provider Profile Details
NPI Number
1124561451
Provider Name
Edwin W Willis
Credential
Provider Entity Type
Individual
Gender
Male
Address
774 Albany St, Boston, MA, 02118-2600
Phone Number
617-534-5613
Fax Number
617-534-6171
Provider Enumeration Date
11/18/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
774 Albany St
City
State
Zip
02118-2520
Phone Number
617-534-5613
Fax Number
617-534-6171
person
Provider Business Mailing Address Details
Address
774 Albany St
City
State
Zip
02118-2520
Phone Number
617-534-5613
Fax Number
617-534-6171
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
1810 LADC1 (Massachusetts)
Definition
Definition to come...
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