Individual
CHASE LEWIS WILLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRADC, MARS
Contact information
Practice address
1109 JONES ST, KENNETT, MO 63857-3824
(573) 888-6545
(573) 888-2369
Mailing address
PO BOX 470, KENNETT, MO 63857-0470
(573) 888-6545
(573) 888-2369
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
4913
MO
Other
Enumeration date
11/21/2008
Last updated
04/11/2018
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