Individual
JONATHAN GABRIEL WILLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
16 RED CEDAR DR, COLUMBIA, SC 29229-9049
(803) 529-7144
Mailing address
16 RED CEDAR DR, COLUMBIA, SC 29229-9049
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
SC
101YP2500X
Professional Counselor
—
SC
102L00000X
Psychoanalyst
—
SC
103G00000X
Clinical Neuropsychologist
Primary
—
SC
103K00000X
Behavior Analyst
—
SC
103T00000X
Psychologist
—
SC
103TB0200X
Cognitive & Behavioral Psychologist
—
SC
103TC2200X
Clinical Child & Adolescent Psychologist
—
SC
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
SC
103TP0814X
Psychoanalysis Psychologist
—
SC
Other
Enumeration date
03/16/2026
Last updated
03/16/2026
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