Individual
WILLA RENEE MOFFETT-WILLIFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCDC
Contact information
Practice address
3401 57TH ST, PORT ARTHUR, TX 77642-5902
(409) 813-8340
Mailing address
3401 57TH ST, PORT ARTHUR, TX 77642-5902
(409) 813-8340
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
9201
TX
Other
Enumeration date
09/06/2018
Last updated
09/06/2018
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