Individual provider · Type 1 NPI
Amanda Marie Willis, LPC
Professional Counselor · Mountain Home, AR
NPI number
1407466923
Active
Practice location
400 S College, Ste 2
Mountain Home, AR 72653-3143
Fax (870) 425-1049
Mailing address
1815 Pleasant Grove Rd
Jonesboro, AR 72405-7870
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | None listed |
Professional Counselor: Definition to come...
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About NPI 1407466923
Amanda Marie Willis, LPC's National Provider Identifier is 1407466923, issued on Aug 10, 2020. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Mountain Home, AR. The record was last updated on Dec 29, 2023.