Provider Information for 1962259242
The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.
Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know
JOEL STOCKER WILLIS LCPC
Sex: Male
NPI: 1962259242
Last Updated: 2024-05-03
Certification Date: 2024-05-03
Certification Date: 2024-05-03
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1962259242 | ||||||||
| Enumeration Date | 2024-05-03 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 2116 7TH AVE N GREAT FALLS, MT 59401-1838 United States Phone: 540-685-0187 | Fax: | ||||||||
| Primary Practice Address | 915 1ST AVE S GREAT FALLS, MT 59401-3705 United States Phone: 540-685-0187 | Fax: | ||||||||
| Secondary Practice Address(es) | |||||||||
| Health Information Exchange |
| ||||||||
| Other Identifiers |
| ||||||||
| Taxonomy |
|