| Jinga Dibaji Alene Willis, | |
|
49713 Gorman Post Rd, Gorman, CA 93243-9701 | |
| (661) 724-0001 | |
| Not Available |
| Full Name | Jinga Dibaji Alene Willis |
|---|---|
| Gender | Female |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 49713 Gorman Post Rd, Gorman, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528836012 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 10542 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jinga Dibaji Alene Willis, 49713 Gorman Post Road, Gorman, CA 93243 Ph: (661) 724-0001 | Jinga Dibaji Alene Willis, 49713 Gorman Post Rd, Gorman, CA 93243-9701 Ph: (661) 724-0001 |
Hobie Fly, Counselor Medicare: Not Enrolled in Medicare Practice Location: 49713 Gorman Post Rd, Gorman, CA 93243 Phone: 661-724-0001 | |
Mr. Christopher R Hardy, Counselor Medicare: Not Enrolled in Medicare Practice Location: 49713 Gorman Post Rd, Gorman, CA 93243 Phone: 661-724-0001 | |
Dominique Martin, Counselor Medicare: Not Enrolled in Medicare Practice Location: 49713 Gorman Post Rd, Gorman, CA 93243 Phone: 661-724-0001 | |
Ralph Renteria, Counselor Medicare: Not Enrolled in Medicare Practice Location: 49713 Gorman Post Rd, Gorman, CA 93243 Phone: 661-724-0001 | |
Shawn Vargas, Counselor Medicare: Not Enrolled in Medicare Practice Location: 49713 Gorman Post Rd, Gorman, CA 93243 Phone: 661-724-0001 | |
Hector F Alvarenga, Counselor Medicare: Not Enrolled in Medicare Practice Location: 49713 Gorman Post Rd, Gorman, CA 93243 Phone: 661-724-0001 |