Individual
MRS. BETTY L WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
4890 32ND AVE SE, SALEM, OR 97317-9350
(504) 371-7393
Mailing address
4890 32ND AVE SE, SALEM, OR 97317-9350
(503) 851-3128
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
OR
101YP2500X
Professional Counselor
Primary
C3349
OR
Other
Enumeration date
12/01/2010
Last updated
07/17/2024
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