Chase Thomas Willoughby

NPI #1265911739 in Corbin, Kentucky

Provider Information

NPI Number: 1265911739
Entity Type: Individual
Name: Chase Thomas Willoughby
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Enumeration Date: Aug 7, 2018
Last Updated: Aug 7, 2018

Practice Location

Address: 1203 AMERICAN GREETING CARD RD
City: Corbin
State: Kentucky
ZIP Code: 40701-4811
Phone: (606) 528-7010

Specialties & Taxonomy Codes

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

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