Individual
DANIEL WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
110 LYNCH STREET, WRANGELL, AK 99929-1231
(907) 874-5008
Mailing address
PO BOX 1231, WRANGELL, AK 99929-1231
(907) 874-5008
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/21/2021
Last updated
01/21/2021
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