Individual provider · Type 1 NPI
Kanisha Nicole Willis
Professional Counselor · Oklahoma City, OK
NPI number
1962748129
Active
Practice location
1700 Everglade Ct
Oklahoma City, OK 73128-7002
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | None listed |
Professional Counselor: Definition to come...
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About NPI 1962748129
Kanisha Nicole Willis's National Provider Identifier is 1962748129, issued on Dec 17, 2012. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Oklahoma City, OK. The record was last updated on May 19, 2014.