person
Monderrick Willis
Addiction (Substance Use Disorder) Counselor in New York, New York
NPI 1982470266

Monderrick Willis is an Addiction (Substance Use Disorder) Counselor based in New York, NY and is specialized in Addiction (Substance Use Disorder). Monderrick Willis practices in New York, NY. The NPI Number for Monderrick Willis is 1982470266 and holds a License No. 39117 (New York).

The current practice location address for Monderrick Willis is 394 Broadway Fl 4, New York, NY and can be reached out via phone at 718-516-6007 and via fax at 212-584-5450.

Location: 394 Broadway Fl 4, New York, NY, 10013-6023
person
Provider Profile Details
NPI Number
1982470266
Provider Name
Monderrick Willis
Credential
Provider Entity Type
Individual
Gender
Male
Address
394 Broadway Fl 4, New York, NY, 10013-6023
Phone Number
718-516-6007
Fax Number
212-584-5450
Provider Enumeration Date
11/28/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
394 Broadway Fl 4
City
State
Zip
10013-6023
Phone Number
718-516-6007
Fax Number
212-584-5450
person
Provider Business Mailing Address Details
Address
394 Broadway Fl 4
City
State
Zip
10013-6023
Phone Number
718-516-6007
Fax Number
212-584-5450
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
39117 (New York)
Definition
Definition to come...
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