Individual
JACQUELINE VERNADE WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCDC II
Contact information
Practice address
725 E MARKET ST, AKRON, OH 44305-2421
(330) 434-4141
Mailing address
615 ELSINORE PL STE 200, CINCINNATI, OH 45202-1457
(833) 510-4357
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
162419
OH
171M00000X
Case Manager/Care Coordinator
162419
OH
Other
Enumeration date
07/22/2015
Last updated
04/03/2024
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