person
Jeremy Willis, LADC
Addiction (Substance Use Disorder) Counselor in Minneapolis, Minnesota
NPI 1770873549

Jeremy Willis is an Addiction (Substance Use Disorder) Counselor based in Minneapolis, MN and is specialized in Addiction (Substance Use Disorder). Jeremy Willis practices in Minneapolis, MN and has the professional credentials of LADC. The NPI Number for Jeremy Willis is 1770873549 and holds a License No. 302490 (Minnesota).

The current practice location address for Jeremy Willis is 3329 University Ave Se, Minneapolis, MN and can be reached out via phone at 612-454-2273 and via fax at 612-454-2340. You can also correspond with Jeremy Willis through the mailing address at 3329 UNIVERSITY AVE SE, MINNEAPOLIS, MN - 55414-3325 (mailing address contact number: 612-454-2273).

Location: 3329 University Ave Se, Minneapolis, MN, 55414-3325
person
Provider Profile Details
NPI Number
1770873549
Provider Name
Jeremy Willis
Credential
LADC
Provider Entity Type
Individual
Gender
Male
Address
3329 University Ave Se, Minneapolis, MN, 55414-3325
Phone Number
612-454-2273
Fax Number
612-454-2340
Provider Enumeration Date
04/14/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3329 University Ave Se
City
State
Zip
55414-3325
Phone Number
612-454-2273
Fax Number
612-454-2340
person
Provider Business Mailing Address Details
Address
3329 University Ave Se
City
State
Zip
55414-3325
Phone Number
612-454-2273
Fax Number
612-454-2340
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
302490 (Minnesota)
Definition
Definition to come...
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