Individual
DR. ANDREL M WILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, LE, LMT, CHT
Contact information
Practice address
362 WILSHIRE ST, PARK FOREST, IL 60466-1514
(815) 790-0899
Mailing address
362 WILSHIRE ST, PARK FOREST, IL 60466-1514
(815) 790-0899
Taxonomy
Speciality
Code
Description
License number
State
101200000X
Drama Therapist
—
—
101YP2500X
Professional Counselor
—
IL
101YP2500X
Professional Counselor
—
—
103T00000X
Psychologist
—
—
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
IL
106S00000X
Behavior Technician
—
—
171400000X
Health & Wellness Coach
Primary
—
—
225700000X
Massage Therapist
227017963
IL
Other
Enumeration date
08/17/2016
Last updated
11/05/2025
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