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

TaxonomyCodeLicense
Counselor Primary 101Y00000XMFT001359 (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.