Individual provider · Type 1 NPI

Mary Willis, LPC

Professional Counselor · Roanoke, VA

NPI number 1083700652 Active

Practice location

4656 Brambleton Avenue
Roanoke, VA 24018

Call (540) 772-8043 Map

Fax (540) 772-8242

Mailing address

755 Independence Blvd
Christiansburg, VA 24073

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X0701003372 (VA)

Professional Counselor: Definition to come...

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About NPI 1083700652

Mary Willis, LPC's National Provider Identifier is 1083700652, issued on Oct 4, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Roanoke, VA. The record was last updated on Jul 9, 2007.