PAUL DANIEL WILLIS

ANTIOCH, CA
NPI1811861040
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  R1621290725)
Enumeration Date2025-10-01
Last Update Date2025-10-01
Business Address
Mr. PAUL DANIEL WILLIS RADTi
1408 A ST
ANTIOCH, CA 94509-2331
Phone number: 925-978-2873
Mailing Address
Mr. PAUL DANIEL WILLIS RADTi
4141 ROCKFORD DR
ANTIOCH, CA 94509-6973
Phone number: