person
Charles Derrell Willis
Mental Health Counselor in Commerce, California
NPI 1699259507

Charles Derrell Willis is a Mental Health Counselor based in Los Angeles, CA and is specialized in Mental Health. Charles Derrell Willis practices in Commerce, CA. The NPI Number for Charles Derrell Willis is 1699259507 and holds a License No. (California).

The current practice location address for Charles Derrell Willis is 5650 Jillson St, Commerce, CA and can be reached out via phone at 323-201-4516 and via fax at 323-215-0170.

Location: 5650 Jillson St, Commerce, CA, 90027-4874
person
Provider Profile Details
NPI Number
1699259507
Provider Name
Charles Derrell Willis
Credential
Provider Entity Type
Individual
Gender
Male
Address
5650 Jillson St, Commerce, CA, 90027-4874
Phone Number
323-201-4516
Fax Number
323-215-0170
Provider Enumeration Date
09/18/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5650 Jillson St
City
State
Zip
90040-1482
Phone Number
323-201-4516
Fax Number
323-215-0170
person
Provider Business Mailing Address Details
Address
5650 Jillson St
City
State
Zip
90040-1482
Phone Number
323-201-4516
Fax Number
323-215-0170
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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