Individual provider · Type 1 NPI

Clayton Willis, LAC

Mental Health Counselor · Rogers, AR

NPI number 1750004834 Active

Practice location

1108 Poplar Pl
Rogers, AR 72756-4249

Fax (479) 372-6460

Mailing address

2809 Forest Home Rd
Jonesboro, AR 72401-5320

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1750004834

Clayton Willis, LAC's National Provider Identifier is 1750004834, issued on Sep 22, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Rogers, AR. The record was last updated on Sep 22, 2022.