person
Dwight Willis, LPCC
Professional Counselor in Scottsville, Kentucky
NPI 1952555385

Dwight Willis is a Professional Counselor based in Scottsville, KY and is specialized in Professional. Dwight Willis practices in Scottsville, KY and has the professional credentials of LPCC. The NPI Number for Dwight Willis is 1952555385 and holds a License No. 0343 (Kentucky).

The current practice location address for Dwight Willis is 512 Bowling Green Rd, Scottsville, KY and can be reached out via phone at 270-237-4481 and via fax at 270-237-4858.

Location: 512 Bowling Green Rd, Scottsville, KY, 42164-8303
person
Provider Profile Details
NPI Number
1952555385
Provider Name
Dwight Willis
Credential
LPCC
Provider Entity Type
Individual
Gender
Male
Address
512 Bowling Green Rd, Scottsville, KY, 42164-8303
Phone Number
270-237-4481
Fax Number
270-237-4858
Provider Enumeration Date
11/12/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
30604011 05 KY
institution
Provider Business Practice Location Address Details
Address
512 Bowling Green Rd
City
State
Zip
42164-8303
Phone Number
270-237-4481
Fax Number
270-237-4858
person
Provider Business Mailing Address Details
Address
512 Bowling Green Rd
City
State
Zip
42164-8303
Phone Number
270-237-4481
Fax Number
270-237-4858
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
0343 (Kentucky)
Definition
Definition to come...
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