Individual provider · Type 1 NPI

Laura Abigail Willis

Mental Health Counselor · Evanston, IL

NPI number 1770218844 Active

Practice location

1007 Church St Ste 302
Evanston, IL 60201-5912

Call (717) 418-0104 Map

Mailing address

1053 N Ridgeway Ave
Chicago, IL 60651-3840

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1770218844

Laura Abigail Willis's National Provider Identifier is 1770218844, issued on Jul 21, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Evanston, IL. The record was last updated on Jul 21, 2022.