| Charles Derrell Willis, | |
|
5650 Jillson St, Commerce, CA 90040-1482 | |
| (323) 201-4516 | |
| (323) 215-0170 |
| Full Name | Charles Derrell Willis |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 5650 Jillson St, Commerce, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699259507 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Charles Derrell Willis, 1518 N Serrano Ave, Los Angeles, CA 90027-4874 Ph: (323) 536-7817 | Charles Derrell Willis, 5650 Jillson St, Commerce, CA 90040-1482 Ph: (323) 201-4516 |
Misleidhy Rodriguez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5650 Jillson St, Commerce, CA 90040 Phone: 323-201-4516 | |
Mr. Gerard Escalante, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2450 S Atlantic Blvd Ste 101, Commerce, CA 90040 Phone: 323-887-1917 | |
Adrienne Mclaughlin, ASW79500 Counselor Medicare: Not Enrolled in Medicare Practice Location: 1500 S Mcdonnell Ave, Commerce, CA 90040 Phone: 323-981-4301 | |
Ms. Wendy Nohemy Hernandez, ACSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 5628 E Slauson Ave, Commerce, CA 90040 Phone: 323-318-9960 Fax: 323-780-3211 | |
Gregory Archie, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1011 Goodrich Blvd, Commerce, CA 90022 Phone: 323-888-9191 | |
Priscilla Marie Peraza, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 5628 E Slauson Ave, Commerce, CA 90040 Phone: 323-480-9242 Fax: 323-832-9224 | |
Ernesto Garcia, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1000 Goodrich Blvd, Commerce, CA 90022 Phone: 323-832-9795 |