Individual provider · Type 1 NPI
Ebony De-Shonia Willis
Mental Health Counselor · Dearborn, MI
NPI number
1487205787
Active
Practice location
835 Mason St Ste B295-A
Dearborn, MI 48124-2231
Fax (734) 895-3957
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 6401223961 (MI) |
Mental Health Counselor: Definition to come...
Another provider at this address
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About NPI 1487205787
Ebony De-Shonia Willis's National Provider Identifier is 1487205787, issued on Sep 27, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Dearborn, MI. The record was last updated on Oct 6, 2025.