WILLIAM WILLIS

FAYETTEVILLE, NC
NPI1912457060
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC  LCAS-22813)
Enumeration Date2016-10-12
Last Update Date2016-10-12
Business Address
-- WILLIAM WILLIS LCAS-A
111 LAMON ST SUITE 103
FAYETTEVILLE, NC 28301-4901
Phone number: 910-261-0941
Mailing Address
-- WILLIAM WILLIS LCAS-A
722 SAGE ST
FAYETTEVILLE, NC 28312-6014
Phone number: 910-261-0941