Susan R Willis, LPC

NPI #1417415340 in Gallipolis, Ohio

Provider Information

NPI Number: 1417415340
Entity Type: Individual
Name: Susan R Willis, LPC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Professional
Credential: LPC
Enumeration Date: Mar 11, 2019
Last Updated: Mar 11, 2019

Practice Location

Address: 3086 STATE ROUTE 160
City: Gallipolis
State: Ohio
ZIP Code: 45631-8409
Phone: (740) 446-5500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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