Individual provider · Type 1 NPI

Carly J. Willard

Mental Health Counselor · Dixon, IL

NPI number 1447584248 Active

Practice location

98 S Galena Ave, 2nd Floor
Dixon, IL 61021-3034

Call (815) 285-1812 Map

Fax (815) 285-1833

Mailing address

702 Country Club Dr
Dixon, IL 61021-9562

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1447584248

Carly J. Willard's National Provider Identifier is 1447584248, issued on Sep 25, 2009. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Dixon, IL. The record was last updated on Sep 25, 2009.