Individual
ADAM D. E. WILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LISW-S
Contact information
Practice address
1595 E RICH ST, COLUMBUS, OH 43205-2131
(419) 579-0274
Mailing address
1595 E RICH ST, COLUMBUS, OH 43205-2131
(419) 579-0274
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
149016358
IL
1041C0700X
Clinical Social Worker
Primary
I. 1101243
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000750568
ANTHEM
—
01
—
12302929
CAQH: HUMANA, QUALITY CARE PARTNERS, AETNA, MED MUTUAL, TRICARE, THE HEALTH PLAN
—
Enumeration date
01/05/2010
Last updated
07/27/2020
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