Doctor Name: | MR. JAMES STEWART WILLIS |
NPI Number: | 1104969807 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.S. |
License Number: | 0701001683 |
Business Practice Address: | 600 Jackson Rappahannock Area Community Services Board Fredericksburg, VA - 22401 |
Business Phone Number: | 5403733223 |
Business Fax Number: | 5403713753 |
Mailing Address: | 9002 Brevet Ln, MECHANICSVILLE |
State: | VA |
Postal Code: | 231166591 |
Phone Number: | 8045691414 |
Fax Number: | 8045691414 |
NPI Enumeration Date: | 02/14/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 0701001683 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | VA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |