Individual provider · Type 1 NPI
Kelley Johnston Willison, MA, LMHC
Mental Health Counselor · Gloucester, MA
NPI number
1083144075
Active
Practice location
23 High St
Gloucester, MA 01930-1148
Mailing address
PO Box 7023
Gloucester, MA 01930-4623
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1083144075
Kelley Johnston Willison, MA, LMHC's National Provider Identifier is 1083144075, issued on Jun 13, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Gloucester, MA. The record was last updated on Oct 21, 2021.