person
Mr. Gerald Willis, FSAC
Addiction (Substance Use Disorder) Counselor in Highland Park, Michigan
NPI 1952428286

Gerald Willis is an Addiction (Substance Use Disorder) Counselor based in Highland Park, MI and is specialized in Addiction (Substance Use Disorder). Gerald Willis practices in Highland Park, MI and has the professional credentials of FSAC. The NPI Number for Gerald Willis is 1952428286 and holds a License No. (Michigan).

The current practice location address for Gerald Willis is 13220 Woodward Ave, Highland Park, MI and can be reached out via phone at 313-852-1637.

Location: 13220 Woodward Ave, Highland Park, MI, 48203-3610
person
Provider Profile Details
NPI Number
1952428286
Provider Name
Gerald Willis
Credential
FSAC
Provider Entity Type
Individual
Gender
Male
Address
13220 Woodward Ave, Highland Park, MI, 48203-3610
Phone Number
313-852-1637
Fax Number
Provider Enumeration Date
03/23/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3022440 05 MI
1740313238 01 MI CHRISTIAN GUIDANCE CENTER
institution
Provider Business Practice Location Address Details
Address
13220 Woodward Ave
City
State
Zip
48203-3610
Phone Number
313-852-1637
Fax Number
person
Provider Business Mailing Address Details
Address
13220 Woodward Ave
City
State
Zip
48203-3610
Phone Number
313-852-1637
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
(Michigan)
Definition
Definition to come...
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