Individual
LANITA RENEE WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW, LICDC
Contact information
Practice address
2323 LAKE CLUB DR, COLUMBUS, OH 43232-3101
(380) 242-2900
Mailing address
5471 SCIOTO DARBY RD, HILLIARD, OH 43026-1310
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
161032
OH
Other
Enumeration date
02/01/2018
Last updated
11/18/2025
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