Individual
GAIL ANNE WILLMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
2828 N CENTRAL AVE STE 707, PHOENIX, AZ 85004-1024
(602) 849-7174
Mailing address
2828 N CENTRAL AVE STE 707, PHOENIX, AZ 85004-1024
(602) 849-7174
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LAC-21049
AZ
Other
Enumeration date
02/24/2025
Last updated
02/24/2025
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