Michael Dwayne Willis
Michael Dwayne Willis is a Marriage & Family Therapist in Culver City, California. Licensed in California. Registered with an NPI since 2018.
- Licensed in
- CA
- In the registry since
- 2018
Practice location Address checks out
9808 Venice Blvd Ste 700Culver City, CA 90232-6824
Phone: (310) 945-3350
Fax: (310) 945-3356
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Specialties & licences
| Marriage & Family Therapist (primary) | Taxonomy 106H00000X · Licence 140007 (CA) |
|---|
Record details
| NPI number | 1528540382 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | August 29, 2018 |
| Last updated in NPPES | August 23, 2023 |
| Certification date | August 23, 2023 |
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