Individual
ALISA S WILLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3250 N MONROE ST, MONROE, MI 48162-9297
(734) 384-3121
Mailing address
26595 ROCK LAKE CT, FLAT ROCK, MI 48134-8312
(917) 494-0185
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
MI
225700000X
Massage Therapist
MA95448
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA95448
MASSAGE THERAPY LICENSE
FL
Enumeration date
01/21/2021
Last updated
04/06/2026
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