Individual
MS. ELLEN WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
THERAPIST
Contact information
Practice address
105 LOUDON RD BLDG 3, CONCORD, NH 03301-5600
(603) 226-7505
Mailing address
PO BOX 2032, CONCORD, NH 03302-2032
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/30/2019
Last updated
12/11/2020
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