Individual
THOMAS WILLIS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CAC
Contact information
Practice address
1416 NATCHITOCHES ST, WEST MONROE, LA 71292-3751
(318) 855-8773
(318) 855-8779
Mailing address
1416 NATCHITOCHES ST, WEST MONROE, LA 71292-3751
(318) 855-8773
(318) 855-8779
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1544
LA
Other
Enumeration date
06/20/2016
Last updated
06/20/2016
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