TANISHA JONIQUE WILLIS

PATCHOGUE, NY
NPI1831080290
Former NameTANISHA JONIQUE ARNOLD
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence:   P134431)
Enumeration Date2025-07-14
Last Update Date2025-07-14
Business Address
TANISHA JONIQUE WILLIS MHC-MP
66A MEDFORD AVE
PATCHOGUE, NY 11772-1202
Phone number: 631-730-5250
Mailing Address
TANISHA JONIQUE WILLIS MHC-MP
1000 MILL RD # 1405
LAKE RONKONKOMA, NY 11779-1400
Phone number: 516-965-1442
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