Individual
MRS. GORDYA WILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
157 FONTAINE BLVD, COLORADO SPRINGS, CO 80911-2110
(719) 388-3558
Mailing address
4286 GUNBARREL DR, COLORADO SPRINGS, CO 80925-1005
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC.0021382
CO
Other
Enumeration date
11/01/2024
Last updated
11/01/2024
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