Individual
TORI WILLETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S., LPC
Contact information
Practice address
18 PORTLAND AVE, MEDFORD, OR 97504-7309
(541) 500-8655
(800) 433-1396
Mailing address
220 W RAPP RD UNIT 94, TALENT, OR 97540-8669
(541) 727-1558
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LH60169232
WA
101YP2500X
Professional Counselor
Primary
C4750
OR
101YP2500X
Professional Counselor
—
OR
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
12/08/2008
Last updated
01/17/2025
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