GARY WILLIS

COLUMBUS, OH
NPI1558994681
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH  172764)
Enumeration Date2020-02-18
Last Update Date2020-02-18
Business Address
GARY WILLIS
3290 MERIDIAN RD
COLUMBUS, OH 43232-4079
Phone number: 614-949-3296
Mailing Address
GARY WILLIS
3290 MERIDIAN RD
COLUMBUS, OH 43232-4079
Phone number: 614-949-3296