Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHARLES DERRELL WILLIS
Active Sole ProprietorCHARLES DERRELL WILLIS is a Mental Health Counselor healthcare provider located in COMMERCE, California. NPI 1699259507 is currently active in the NPPES registry. Verify at CMS.
Mental Health Counselor · COMMERCE, CA
Registration Details
- NPI Number
- 1699259507
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 18, 2018 (7.915709840613 yrs)
- Last Updated
- Sep 18, 2018
- Sole Proprietor
- Yes
Practice Information
- Address
-
5650 JILLSON STCOMMERCE, CA, 900401482Browse CA providers · Browse ZIP 90040
- Phone
- 3232014516
- Fax
- 3232150170
- Primary Specialty
-
Mental Health Counselor
101YM0800X
Other Mental Health Counselor Providers in COMMERCE, CA
| Name | Credential | NPI |
|---|---|---|
| MISS ANDRA CONIECE BLAKE | MFTI | 1295803328 |
| KIMBERLY JEAN TROPEZ | MFTI | 1265597306 |
| REGENA WEATHERFORD | MFTI | 1851445977 |
| EDWARD GODINEZ | — | 1720127673 |
| MR. GLENN W ABEL | MFTII | 1114067188 |
| MRS. ANSELY HENRIQUEZ | — | 1407988322 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.