Individual
DENISE L. WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
410 DEACON RD, FREDERICKSBURG, VA 22405-1718
(540) 681-1924
Mailing address
410 DEACON RD, FREDERICKSBURG, VA 22405-1718
(540) 681-1924
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/28/2022
Last updated
12/28/2022
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