Willis, Jimmy Joe

Willis, Jimmy Joe is an individual health care provider with primary practice located at 16 Pompton Ave , Pompton Lakes NJ 07442-1895. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Willis, Jimmy Joe can be contacted via phone (973) 835-6337.

Contact Information

Primary practice address
16 Pompton Ave Pompton Lakes NJ 07442-1895
Phone: (973) 835-6337
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X

Profile Details

NPI number 1023625209
LBN Legal business name Willis, Jimmy Joe
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2020
Last updated Sep 30th, 2020 - about 4 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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