Individual
GRETA WILLOUGHBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
18 RIDGE DR SW, ROME, GA 30165-3551
(706) 506-1079
(706) 233-8335
Mailing address
18 RIDGE DR SW, ROME, GA 30165-3551
(706) 506-1079
(706) 233-8335
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC002747
GA
Other
Enumeration date
12/15/2006
Last updated
07/08/2007
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