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Harold Willis
Professional Counselor in Grand Prairie, Texas
NPI 1528451234

Harold Willis is a Professional Counselor based in Grapevine, TX and is specialized in Professional. Harold Willis practices in Grand Prairie, TX. The NPI Number for Harold Willis is 1528451234 and holds a License No. 9398 (Texas).

The current practice location address for Harold Willis is 2304 Bardin Rd, Grand Prairie, TX and can be reached out via phone at 682-622-6013.

Location: 2304 Bardin Rd, Grand Prairie, TX, 76099-3211
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1528451234
Provider Name
Harold Willis
Credential
Provider Entity Type
Individual
Gender
Male
Address
2304 Bardin Rd, Grand Prairie, TX, 76099-3211
Phone Number
682-622-6013
Fax Number
Provider Enumeration Date
03/05/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2304 Bardin Rd
City
Grand Prairie
State
Texas
Zip
75052-3850
Phone Number
682-622-6013
Fax Number
person
Provider Business Mailing Address Details
Address
2304 Bardin Rd
City
Grand Prairie
State
Texas
Zip
75052-3850
Phone Number
682-622-6013
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
73141 (Texas)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
9398 (Texas)
Definition
Definition to come...
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