JEREMY WILLIS

MINNEAPOLIS, MN
NPI1770873549
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN  302490)
Enumeration Date2011-04-14
Last Update Date2011-04-14
Business Address
-- JEREMY WILLIS LADC
3329 UNIVERSITY AVE SE
MINNEAPOLIS, MN 55414-3325
Phone number: 612-454-2273
Mailing Address
-- JEREMY WILLIS LADC
3329 UNIVERSITY AVE SE
MINNEAPOLIS, MN 55414-3325
Phone number: 612-454-2273
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