Individual
MS. CHARLYNN ANN WILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
2125 ALBANY POST RD, MONTROSE, NY 10548-1447
(917) 558-2169
Mailing address
33 WELCHER AVE, PEEKSKILL, NY 10566-5638
(917) 558-2169
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
09531-01
NY
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
11/16/2022
Last updated
11/16/2022
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