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Individual

CONNOR WILLS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
80 W MAIN ST, MENDHAM, NJ 07945-1257
(973) 543-5656
Mailing address
389 BERKELEY AVE, BLOOMFIELD, NJ 07003-5001
(201) 572-8542

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
106H00000X
Marriage & Family Therapist
Primary
37AC00547100
NJ

Other

Enumeration date
02/29/2016
Last updated
01/21/2022
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