Angeline Dominique Willis

NPI #1013477462 in Salem, Oregon

Provider Information

NPI Number
1013477462
Entity Type
Individual
Name
Angeline Dominique Willis
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Mental Health
Enumeration Date
Mar 21, 2019
Last Updated
Mar 21, 2019

Practice Location

Address
821 SAGINAW ST S
City
Salem
State
Oregon
ZIP Code
97302-4121
Phone
(503) 315-8646

Specialties & Taxonomy Codes

Specialty
Counselor - Mental HealthMental Health

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