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Individual

MR. CHAD RILEY WILLIS JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
303 N CENTENNIAL WAY, MESA, AZ 85201-6733
(480) 527-0337
Mailing address
303 N CENTENNIAL WAY, MESA, AZ 85201-6733
(480) 527-0337
(480) 452-1311

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-17301
AZ

Other

Enumeration date
10/15/2018
Last updated
11/02/2023
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