Individual
MR. JAMES STEWART WILLIS III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S.
Contact information
Practice address
2301 N PARHAM RD STE 5, RICHMOND, VA 23229-3171
(804) 270-1124
Mailing address
2301 N PARHAM RD STE 5, RICHMOND, VA 23229-3171
(804) 270-1124
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
0701001683
VA
101YP2500X
Professional Counselor
Primary
0701001683
VA
251S00000X
Community/Behavioral Health Agency
0701001683
VA
Other
Enumeration date
02/14/2007
Last updated
11/07/2023
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