Angeline Dominique Willis, - Counselor in Salem, OR

Angeline Dominique Willis, is a Counselor - Mental Health based in Salem, Oregon. Angeline Dominique Willis is licensed to practice in * (Not Available) (license number ) and her current practice location is 821 Saginaw St S, Salem, Oregon. She can be reached at her office (for appointments etc.) via phone at (503) 315-8646.

NPI number for Angeline Dominique Willis is 1013477462 and her current mailing address is 30323 S Bruce Tomlin St, Molalla, Oregon. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1013477462.

Contact Information

Angeline Dominique Willis,
821 Saginaw St S,
Salem, OR 97302-4121
(503) 315-8646
Not Available

Healthcare Provider's Profile

Full NameAngeline Dominique Willis
GenderFemale
SpecialityCounselor - Mental Health
Location821 Saginaw St S, Salem, Oregon
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1013477462
  • Provider Enumeration Date: 03/21/2019
  • Last Update Date: 03/21/2019

Medical Identifiers

Medical identifiers for Angeline Dominique Willis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013477462NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health (* (Not Available))Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Angeline Dominique Willis is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Angeline Dominique Willis,
30323 S Bruce Tomlin St,
Molalla, OR 97038-7624

Ph: (503) 654-3400
Angeline Dominique Willis,
821 Saginaw St S,
Salem, OR 97302-4121

Ph: (503) 315-8646

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› Verified 9 days ago


Counselor in Salem, OR

Miss Lena Yesowitch, BA PSYCHOLOGY
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 290 Moyer Ln Nw, Salem, OR 97304
Phone: 415-902-6835    
Tara Barrett,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 2355 State St Ste 101, Salem, OR 97301
Phone: 971-599-3380    
Ms. Tommie Mae Salas, MS/P, MA
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 275 37th Ave Se, Salem, OR 97317
Phone: 503-983-0489    Fax: 503-585-0491
Mr. Thomas Wilson Dooley, MS,LPC, CRC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 1515 Liberty St Se, Salem, OR 97302
Phone: 503-951-6280    Fax: 503-468-3130
Lynda Raylene Conley,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 1599 State St, Salem, OR 97301
Phone: 503-363-3260    
Rebekah Elizabeth Stoltzfus,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 805 Liberty St Ne Ste 2, Salem, OR 97301
Phone: 503-589-3112    
Clara Edmonds,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 4890 32nd Ave Se, Salem, OR 97317
Phone: 503-588-5647    

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