Individual provider · Type 1 NPI

Kelley Willis, MSW

Counselor · Chantilly, VA

NPI number 1790135549 Active

Practice location

14900 Bogle Dr, Suite 200
Chantilly, VA 20151-1756

Call (703) 817-9890 Map

Fax (703) 817-9860

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1790135549

Kelley Willis, MSW's National Provider Identifier is 1790135549, issued on Jun 13, 2016. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Chantilly, VA. The record was last updated on Nov 15, 2022.