National Provider Identifier

Scott A Willis, AAS

Scott A Willis, AAS is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor in Warsaw, NY and a listed phone number of (585) 786-8133.

NPI 1952579716Warsaw, NYAddiction (Substance Use Disorder) Counselor

Profile Overview

NPI
1952579716
Provider Type
Individual
Primary Specialty
Addiction (Substance Use Disorder) Counselor
Enumeration Date
February 14, 2008
Last Updated
February 14, 2008

Practice Location

  • 422 N Main St
  • Warsaw, NY 14569-1023

Phone: (585) 786-8133

Mailing Address

  • 209 Washington Avenue
  • Batavia, NY 14020

Specialties

  • Addiction (Substance Use Disorder) Counselor (101YA0400X)
Full Record
NPI
1952579716
Entity Type
Individual
Last Name
Willis
First Name
Scott
Middle Name
A
Credential
AAS
Mailing Street Address
209 Washington Avenue
Mailing City
Batavia
Mailing State
NY
Mailing ZIP Code
14020
Mailing Country
US
Mailing Phone
(585) 219-4989
Practice Street Address
422 N Main St
Practice City
Warsaw
Practice State
NY
Practice ZIP Code
14569-1023
Practice Country
US
Practice Phone
(585) 786-8133
Practice Fax
(585) 786-9928
Enumeration Date
February 14, 2008
Last Updated
February 14, 2008
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Addiction (Substance Use Disorder) Counselor (101YA0400X)
Other Identifiers
00740423 (NY)