Individual provider · Type 1 NPI
Ivy L. Willis
Counselor · South Euclid, OH
NPI number
1407410178
Active
Practice location
4266 Monticello Blvd
South Euclid, OH 44121-2815
Mailing address
3418 Hartwood Rd
Cleveland Heights, OH 44112-3030
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | None 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.
Other counselor providers in South Euclid
About NPI 1407410178
Ivy L. Willis's National Provider Identifier is 1407410178, issued on Apr 27, 2019. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in South Euclid, OH. The record was last updated on Apr 27, 2019.