Individual
MS. JEMINA MARIE WILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
9340 E PICKWICK CIR, TAYLOR, MI 48180-3854
(313) 685-8524
Mailing address
9340 E PICKWICK CIR, TAYLOR, MI 48180-3854
(313) 685-8524
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
04/04/2017
Last updated
04/04/2017
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