Individual
JOHN PAUL WILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CIT
Contact information
Practice address
4150 EARHART BLVD, NEW ORLEANS, LA 70125-1955
(504) 821-7120
Mailing address
4150 EARHART BLVD, NEW ORLEANS, LA 70125-1955
(504) 821-7120
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CIT-6105
LA
175T00000X
Peer Specialist
OBHPSS883
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CIT-6105
—
LA
05
—
OBHPSS883
—
LA
Enumeration date
06/02/2022
Last updated
03/11/2026
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