Individual provider · Type 1 NPI
Kelli Danielle Willard, LMFT
Counselor · Suwanee, GA
NPI number
1891455135
Active
Practice location
912 Little Darby Ln
Suwanee, GA 30024-7676
Mailing address
1000 Peachtree Industrial Blvd, Ste 6 Box 222
Suwanee, GA 30024
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | MFT001359 (GA) |
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 1891455135
Kelli Danielle Willard, LMFT's National Provider Identifier is 1891455135, issued on Dec 28, 2021. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Suwanee, GA. The record was last updated on Dec 28, 2021.