Individual
THOMAS WILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
510 E MOELLER ST, PRESCOTT, AZ 86301-2612
(928) 420-5300
Mailing address
510 E MOELLER ST, PRESCOTT, AZ 86301-2612
(928) 420-5300
(928) 350-6404
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LAC-18519
AZ
Other
Enumeration date
07/03/2020
Last updated
07/03/2020
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