Individual
MR. TODD SPENCER WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.M.H.C., L.P.C.
Contact information
Practice address
601 WALL ST, VALPARAISO, IN 46383-2512
(219) 531-3500
Mailing address
424B SEQUOIA DR, VALPARAISO, IN 46385-8109
(219) 759-8311
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
39001592A
IN
101YP2500X
Professional Counselor
Primary
2000171100
MO
Other
Enumeration date
10/27/2005
Last updated
09/11/2025
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