MS. Lisa Michele Willson, M.A.

NPI #1033457221 in Bangor, Pennsylvania

Provider Information

NPI Number: 1033457221
Entity Type: Individual
Name: MS. Lisa Michele Willson, M.A.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Credential: M.A.
Enumeration Date: Jan 22, 2013
Last Updated: Jan 22, 2013

Practice Location

Address: 51 MARKET ST
City: Bangor
State: Pennsylvania
ZIP Code: 18013-1901
Phone: (610) 588-9109

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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