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Individual

MRS. SAMANTHA LYNN HARBOR WILLIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.ED., LPC, NCC

Contact information

Practice address
173 TUCKER ROAD, SUITE 202, HELENA, AL 35080
(205) 679-0943
(205) 881-3072
Mailing address
1430 GADSDEN HIGHWAY SUITE 116 UNIT #282, BIRMINGHAM, AL 35235-3900
(205) 679-0943
(205) 881-3072

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YM0800X
Mental Health Counselor
Primary
3804
AL

Other

Enumeration date
01/11/2016
Last updated
03/13/2024
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