John Willis

NPI #1679781470 in Ashland, Kentucky

Provider Information

NPI Number: 1679781470
Entity Type: Individual
Name: John Willis
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Community Health Worker
Enumeration Date: May 18, 2007
Last Updated: Jul 15, 2020

Practice Location

Address: 1212 BATH AVE
Address 2: ALERT
City: Ashland
State: Kentucky
ZIP Code: 41101-2696
Phone: (606) 329-8588

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X
Community Health Worker	172V00000X	Primary

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