Most Relevant Information
Provider Data
| NPI Number: | 1003634940 |
| Provider Name: | DENISE WILLIS |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/30/2024 |
| Last Updated: | 09/30/2024 |
Provider Practice Location
145 ERTEN ST
THOUSAND OAKS
CA
913601810
Practice Location Phone/Fax
| Phone: | 8053007084 |
| Fax: |
Provider Mailing Location
4346 CAMINO DE LA ROSA
NEWBURY PARK
CA
913206716
Provider Mailing Phone/Fax
| Phone: | 8053007084 |
| Fax: |