Individual
CHANTEL WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
10319 WHITE FIR VILLA AVE, HOUSTON, TX 77044-4029
(832) 721-4608
Mailing address
10319 WHITE FIR VILLA AVE, HOUSTON, TX 77044-4029
(832) 721-4608
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
58087
TX
Other
Enumeration date
02/04/2022
Last updated
02/04/2022
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