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Mr. Brian E Willis, LMHC
Mental Health Counselor in Milton, Florida
NPI 1740538511

Brian E Willis is a Mental Health Counselor based in Milton, FL and is specialized in Mental Health. Brian E Willis practices in Milton, FL and has the professional credentials of LMHC. The NPI Number for Brian E Willis is 1740538511 and holds a License No. MH 11927 (Florida).

The current practice location address for Brian E Willis is 5642 Jones St, Milton, FL and can be reached out via phone at 850-626-7779 and via fax at 850-626-7171.

Location: 5642 Jones St, Milton, FL, 32570-2304
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1740538511
Provider Name
Brian E Willis
Credential
LMHC
Provider Entity Type
Individual
Gender
Male
Address
5642 Jones St, Milton, FL, 32570-2304
Phone Number
850-626-7779
Fax Number
850-626-7171
Provider Enumeration Date
08/27/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
101566900 05 FL
institution
Provider Business Practice Location Address Details
Address
5642 Jones St
City
Milton
State
Florida
Zip
32570-2304
Phone Number
850-626-7779
Fax Number
850-626-7171
person
Provider Business Mailing Address Details
Address
5642 Jones St
City
Milton
State
Florida
Zip
32570-2304
Phone Number
850-626-7779
Fax Number
850-626-7171
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
MH 11927 (Florida)
Definition
Definition to come...
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