Willis, Johnny R

Willis, Johnny R is an individual health care provider with primary practice located at 601 Gregg Ave , Florence SC 29501. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Willis, Johnny R can be contacted via phone (843) 664-3919.

Contact Information

Primary practice address
601 Gregg Ave Florence SC 29501
Phone: (843) 664-3919
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LPCI H 4679 South Carolina

Profile Details

NPI number 1851423222
LBN Legal business name Willis, Johnny R
Credentials LPCI CACI
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 12th, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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