MATTHEW WILLIS

GRASS VALLEY, CA
NPI1104275270
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  R1236930816)
Enumeration Date2016-06-08
Last Update Date2017-03-08
Business Address
-- MATTHEW WILLIS
180 SIERRA COLLEGE DR
GRASS VALLEY, CA 95945-5768
Phone number: 530-271-1140
Mailing Address
-- MATTHEW WILLIS
180 SIERRA COLLEGE DR
GRASS VALLEY, CA 95945-5768
Phone number: 530-271-1140
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