Kwin Leslie Willis, in Richmond, UT - Marriage & Family Therapist

Kwin Leslie Willis, is a Marriage & Family Therapist based in Richmond, Utah. Kwin Leslie Willis is licensed to practice in Utah (license number 9578164-3902) and his current practice location is 44 N Highway 91 Ste 1, Richmond, Utah. He can be reached at his office (for appointments etc.) via phone at (435) 535-5784.

NPI number for Kwin Leslie Willis is 1881940302 and his current mailing address is 825 East 1090 South, Provo, Utah. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1881940302.

Contact Information

	Kwin Leslie Willis,
	44 N Highway 91 Ste 1, Richmond, UT 84333-1419
	(435) 535-5784
	Not Available

Healthcare Provider's Profile

Full Name	Kwin Leslie Willis
Gender	Male
Speciality	Marriage & Family Therapist
Location	44 N Highway 91 Ste 1, Richmond, Utah
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1881940302
Provider Enumeration Date: 08/02/2012
Last Update Date: 10/23/2019

Medical Identifiers

Medical identifiers for Kwin Leslie Willis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1881940302	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	9578164-3902 (Utah)	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. Kwin Leslie 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 Address	Practice Location Address
Kwin Leslie Willis, 825 East 1090 South, Provo, UT 84606 Ph: () -	Kwin Leslie Willis, 44 N Highway 91 Ste 1, Richmond, UT 84333-1419 Ph: (435) 535-5784

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Kwin Leslie Willis, - Couples Therapy in Richmond, UT