person
Carly Amber Willis
School Counselor in Pontiac, Michigan
NPI 1396180543

Carly Amber Willis is a School Counselor based in Pontiac, MI and is specialized in School. Carly Amber Willis practices in Pontiac, MI. The NPI Number for Carly Amber Willis is 1396180543 and holds a License No. (Michigan).

The current practice location address for Carly Amber Willis is 114 Orchard Lake Rd, Pontiac, MI and can be reached out via phone at 248-624-3812 and via fax at 248-624-0368.

Location: 114 Orchard Lake Rd, Pontiac, MI, 48341-2244
person
Provider Profile Details
NPI Number
1396180543
Provider Name
Carly Amber Willis
Credential
Provider Entity Type
Individual
Gender
Female
Address
114 Orchard Lake Rd, Pontiac, MI, 48341-2244
Phone Number
248-624-3812
Fax Number
248-624-0368
Provider Enumeration Date
05/01/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1883825 05 MI
institution
Provider Business Practice Location Address Details
Address
114 Orchard Lake Rd
City
State
Zip
48341-2244
Phone Number
248-624-3812
Fax Number
248-624-0368
person
Provider Business Mailing Address Details
Address
114 Orchard Lake Rd
City
State
Zip
48341-2244
Phone Number
248-624-3812
Fax Number
248-624-0368
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
School
Taxonomy
License No.
()
Definition
Definition to come...
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