ANNE M WILLIS - NPI NUMBER 1275882854

Summary

Provider Name: ANNE M WILLIS

NPI Number: 1275882854

Clasification: Counselor (101YM0800X)

Specialization: Mental Health

Address:
1545 HARBECK RD
GRANTS PASS, OR
ZIP 97527

Phone Number: (541) 659-3198



Detailed Information

Anne M Willis is a mental health counselor in Grants Pass, OR. The assigned NPI number for this provider is 1275882854 and is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business address is:

1545 HARBECK RD
GRANTS PASS, OR
ZIP 97527-605
Phone: (541) 659-3198

The enumeration date for this NPI number is 8/29/2012 and was last updated on 8/29/2012.

Map - Location of Practice

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Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 101YM0800X Counselor Mental Health Yes

NPI Record

No. Field Name Field Value
1 NPI 1275882854
2 Entity Type Code 1
3 Provider Last Name Legal Name WILLIS
4 Provider First Name ANNE
5 Provider Middle Name M
6 Provider First Line Business Practice Location Address 1545 HARBECK RD
7 Provider Business Practice Location Address City Name GRANTS PASS
8 Provider Business Practice Location Address State Name OR
9 Provider Business Practice Location Address Postal Code 975275605
10 Provider Business Practice Location Address Country Code If outside U S US
11 Provider Business Practice Location Address Telephone Number 5416593198
12 Provider Enumeration Date 8/29/2012
13 Last Update Date 8/29/2012
14 Provider Gender Code F
15 Healthcare Provider Taxonomy Code 1 101YM0800X
16 Healthcare Provider Primary Taxonomy Switch 1 Y
17 Is Sole Proprietor N

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This page was last updated on: 8/12/2014
All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.