Willow Counseling LLC

NPI #1609427269 in Champaign, Illinois

Provider Information

NPI Number: 1609427269
Entity Type: Organization
Organization Name: Willow Counseling LLC
Primary Specialty: Social Worker
Enumeration Date: Sep 25, 2019
Last Updated: Sep 25, 2019

Practice Location

Address: 1415 COBBLESTONE WAY
City: Champaign
State: Illinois
ZIP Code: 61822-2068
Phone: (217) 377-9347

Authorized Official

Name: KRISTEN HAMMEL, LCPC
Title: LCPC
Phone: (217) 377-9347

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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