Individual
BARRY WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1412 SW 43RD ST STE 140, RENTON, WA 98057-4803
(425) 264-0750
Mailing address
1412 SW 43RD ST STE 140, RENTON, WA 98057-4803
(425) 264-0750
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDPT.CO.70033973
WA
Other
Enumeration date
12/15/2025
Last updated
12/15/2025
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