Individual
MARY ELIZABETH BETTY MCWILLIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3661 CHARLESWOOD AVE, MEMPHIS, TN 38122-4602
(901) 324-2705
Mailing address
3661 CHARLESWOOD AVE, MEMPHIS, TN 38122-4602
(901) 324-2705
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
527
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
527
COUNSELING
TN
Enumeration date
01/14/2021
Last updated
01/14/2021
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