Individual
JUSTIN JAMES WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC
Contact information
Practice address
2550 MIDDLE RD STE 508, BETTENDORF, IA 52722-7905
(309) 716-1536
Mailing address
2550 MIDDLE RD STE 508, BETTENDORF, IA 52722-7905
(309) 716-1536
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37222
IL
101YM0800X
Mental Health Counselor
37222
IL
Other
Enumeration date
08/19/2024
Last updated
08/19/2024
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