Willis, Steven Jerrold
Willis, Steven Jerrold is an sole proprietor health care provider with primary practice located at 1111 12Th Street Suite 204, Key West FL 33040-3011. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is his primary health care specialty. Willis, Steven Jerrold can be contacted via phone (305) 747-2124.Contact Information
Primary practice address
1111 12Th Street Suite 204
Key West FL 33040-3011
Phone: (305) 747-2124
Fax: (305) 293-4339
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Professional | 101YP2500X | MHC 6306 | Florida |
Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | MFT 2056 | Florida |
Profile Details
NPI number | 1629185327 |
---|---|
LBN Legal business name | Willis, Steven Jerrold |
Credentials | Master of Education (MED) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 25th, 2006 |
Last updated | Jul 16th, 2015 - about 9 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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