Organization
WILLOWS COUNSELING AND EMDR CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY COLLINS LPC-IT, CSAC (OWNER)
(608) 851-0348
Entity
Organization
Contact information
Practice address
20 S MAIN ST STE 21, JANESVILLE, WI 53545-3959
(608) 851-0348
(815) 737-8115
Mailing address
20759 BURR OAK RD, CAPRON, IL 61012-9616
(815) 482-2563
(815) 737-8115
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100078408
—
WI
Enumeration date
04/16/2020
Last updated
02/18/2026
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