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Lydell Willis
Mental Health Counselor in Oakland, California
NPI 1134546047

Lydell Willis is a Mental Health Counselor based in Oakland, CA and is specialized in Mental Health. Lydell Willis practices in Oakland, CA. The NPI Number for Lydell Willis is 1134546047 and holds a License No. 74808 (California).

The current practice location address for Lydell Willis is 401 Roland Way Ste 100, Oakland, CA and can be reached out via phone at 510-746-2800.

Location: 401 Roland Way Ste 100, Oakland, CA, 94621-2034
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134546047
Provider Name
Lydell Willis
Credential
Provider Entity Type
Individual
Gender
Male
Address
401 Roland Way Ste 100, Oakland, CA, 94621-2034
Phone Number
510-746-2800
Fax Number
Provider Enumeration Date
03/28/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
401 Roland Way Ste 100
City
Oakland
State
California
Zip
94621-2034
Phone Number
510-746-2800
Fax Number
person
Provider Business Mailing Address Details
Address
401 Roland Way Ste 100
City
Oakland
State
California
Zip
94621-2034
Phone Number
510-746-2800
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
74808 (California)
Definition
Definition to come...
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