Randy Wills, MA LP

NPI 1508941931 · on the registry since 2006 · sole proprietor

Practice

Address: 13637 60th St Sw
Cokato, MN 55321
Phone: (320) 286-2922
Fax: (320) 286-2875
Organisation at this address: Kato Project 3
Dimensions In Recovery Ii
Village Ranch Child And Family Services
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 6

Registry record

Primary taxonomy: 103T00000X
103T00000X
Licence states on file: MN
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2008-09-25

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota