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Breonna Shanice Willis
Counselor in Orlando, Florida
NPI 1871198994

Breonna Shanice Willis is a Counselor based in Orlando, FL. Breonna Shanice Willis practices in Orlando, FL. The NPI Number for Breonna Shanice Willis is 1871198994 and holds a License No. (Florida).

The current practice location address for Breonna Shanice Willis is 482 S Keller Rd, Orlando, FL and can be reached out via phone at 689-204-3341.

Location: 482 S Keller Rd, Orlando, FL, 32810-6130
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871198994
Provider Name
Breonna Shanice Willis
Credential
Provider Entity Type
Individual
Gender
Female
Address
482 S Keller Rd, Orlando, FL, 32810-6130
Phone Number
689-204-3341
Fax Number
Provider Enumeration Date
12/04/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
62395 01 FL CHILDREN'S HOME SOCIETY
institution
Provider Business Practice Location Address Details
Address
482 S Keller Rd
City
Orlando
State
Florida
Zip
32810-6130
Phone Number
689-204-3341
Fax Number
person
Provider Business Mailing Address Details
Address
482 S Keller Rd
City
Orlando
State
Florida
Zip
32810-6130
Phone Number
689-204-3341
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
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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