Individual provider · Type 1 NPI

Willis Broadway

Mental Health Counselor · Monroe, LA

NPI number 1063869998 Active

Practice location

1009 S 10th St
Monroe, LA 71202-2925

Call (318) 791-0533 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1063869998

Willis Broadway's National Provider Identifier is 1063869998, issued on May 20, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Monroe, LA. The record was last updated on May 20, 2016.