Most Relevant Information
Provider Data
| NPI Number: | 1003406299 |
| Provider Name: | DANIEL WILLIS |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/21/2021 |
| Last Updated: | 01/21/2021 |
Provider Practice Location
110 LYNCH STREET
WRANGELL
AK
999291231
Practice Location Phone/Fax
| Phone: | 9078745008 |
| Fax: |
Provider Mailing Location
PO BOX 1231
WRANGELL
AK
999291231
Provider Mailing Phone/Fax
| Phone: | 9078745008 |
| Fax: |