Individual
DESTINY TAYLOR WILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1764 LINDA AVE, APT 2, MARYSVILLE, CA 95901
(530) 649-4426
Mailing address
990 KLAMATH LN STE 9, YUBA CITY, CA 95993-8978
(916) 413-4153
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
01/19/2024
Last updated
12/18/2025
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