Melba Willis, LPC

NPI #1548420003 in Wasilla, Alaska

Provider Information

NPI Number: 1548420003
Entity Type: Individual
Name: Melba Willis, LPC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Professional
Credential: LPC
Enumeration Date: Jun 9, 2008
Last Updated: Jun 9, 2008

Practice Location

Address: 1363 W SPRUCE AVE
City: Wasilla
State: Alaska
ZIP Code: 99654-5327
Phone: (907) 376-2411

Specialties & Taxonomy Codes

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

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