Individual provider · Type 1 NPI
Holly Rae Willard, BS, CCS, CADC
Addiction (Substance Use Disorder) Counselor · Forrest City, AR
NPI number
1861789190
Active
Practice location
112 S Izard St
Forrest City, AR 72335-3810
Fax (870) 633-2624
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 1357 (AR) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
2 other providers at this address
About NPI 1861789190
Holly Rae Willard, BS, CCS, CADC's National Provider Identifier is 1861789190, issued on Jul 7, 2011. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Forrest City, AR. The record was last updated on Jul 7, 2011.