Individual provider · Type 1 NPI

Darrelle Willis, M.S.

Counselor · Jackson, TN

NPI number 1073706941 Active

Practice location

45 Executive Dr
Jackson, TN 38305-2337

Call (731) 664-2083 Map

Fax (731) 664-1988

Mailing address

103 Southlake Cir
Canton, MS 39046-5369

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1073706941

Darrelle Willis, M.S.'s National Provider Identifier is 1073706941, issued on Aug 23, 2007. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Jackson, TN. The record was last updated on Mar 15, 2021.