Individual
CARRIE WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC-S, LICDC
Contact information
Practice address
14 S PAINT ST, CHILLICOTHE, OH 45601-3203
(740) 417-6562
Mailing address
401 E MCMILLAN ST, CINCINNATI, OH 45206-1922
(740) 417-6562
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
151165
OH
101YP2500X
Professional Counselor
Primary
1300689
OH
Other
Enumeration date
03/24/2017
Last updated
01/27/2021
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