person
John Paul Willis, PSS
Peer Specialist in Terrytown, Louisiana
NPI 1801535265

John Paul Willis is a Peer Specialist based in Kenner, LA. John Paul Willis practices in Terrytown, LA and has the professional credentials of PSS. The NPI Number for John Paul Willis is 1801535265 and holds a License No. OBHPSS883 (Louisiana).

The current practice location address for John Paul Willis is 1799 Stumpf Blvd Ste 2&4, Terrytown, LA and can be reached out via phone at 504-367-4234 and via fax at 504-367-4237.

Location: 1799 Stumpf Blvd Ste 2&4, Terrytown, LA, 70064-0548
person
Provider Profile Details
NPI Number
1801535265
Provider Name
John Paul Willis
Credential
PSS
Provider Entity Type
Individual
Gender
Male
Address
1799 Stumpf Blvd Ste 2&4, Terrytown, LA, 70064-0548
Phone Number
504-367-4234
Fax Number
504-367-4237
Provider Enumeration Date
06/02/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
OBHPSS883 05 LA
institution
Provider Business Practice Location Address Details
Address
1799 Stumpf Blvd Ste 2&4
City
State
Zip
70056-3950
Phone Number
504-367-4234
Fax Number
504-367-4237
person
Provider Business Mailing Address Details
Address
1799 Stumpf Blvd Ste 2&4
City
State
Zip
70056-3950
Phone Number
504-367-4234
Fax Number
504-367-4237
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
OBHPSS883 (Louisiana)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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