Monderrick Willis
Monderrick Willis is an Addiction (Substance Use Disorder) Counselor in New York, New York. Licensed in New York. Registered with an NPI since 2023.
- Licensed in
- NY
- In the registry since
- 2023
Practice location Address checks out
394 Broadway Fl 4New York, NY 10013-6023
Phone: (718) 516-6007
Fax: (212) 584-5450
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence 39117 (NY) |
|---|
Record details
| NPI number | 1982470266 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | November 28, 2023 |
| Last updated in NPPES | November 28, 2023 |
| Certification date | November 28, 2023 |
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