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Kevin Lamont Willis
Counselor in Hayward, California
NPI 1508355496

Kevin Lamont Willis is a Counselor based in Hayward, CA. Kevin Lamont Willis practices in Hayward, CA. The NPI Number for Kevin Lamont Willis is 1508355496 and holds a License No. (California).

The current practice location address for Kevin Lamont Willis is 795 Fletcher Ln, Hayward, CA and can be reached out via phone at 510-247-8300.

Location: 795 Fletcher Ln, Hayward, CA, 94544-1008
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508355496
Provider Name
Kevin Lamont Willis
Credential
Provider Entity Type
Individual
Gender
Male
Address
795 Fletcher Ln, Hayward, CA, 94544-1008
Phone Number
510-247-8300
Fax Number
Provider Enumeration Date
05/07/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
795 Fletcher Ln
City
Hayward
State
California
Zip
94544-1008
Phone Number
510-247-8300
Fax Number
person
Provider Business Mailing Address Details
Address
795 Fletcher Ln
City
Hayward
State
California
Zip
94544-1008
Phone Number
510-247-8300
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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