Jinga Dibaji Alene Willis
NPI #1528836012 in Gorman, California
Provider Information
- NPI Number
- 1528836012
- Entity Type
- Individual
- Name
- Jinga Dibaji Alene Willis
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Enumeration Date
- Dec 14, 2023
- Last Updated
- Dec 14, 2023
Practice Location
- Address
- 49713 GORMAN POST RD
- City
- Gorman
- State
- California
- ZIP Code
- 93243-9701
- Phone
- (661) 724-0001
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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