Individual
CARL WILLOUGHBY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
2004 N 12TH ST, SUITE 47, GRAND JUNCTION, CO 81501-2982
(970) 241-6500
(970) 243-8835
Mailing address
2004 N 12TH ST, SUITE 47, GRAND JUNCTION, CO 81501
(970) 241-6500
(970) 243-8835
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1630
CO
Other
Enumeration date
01/25/2006
Last updated
07/08/2007
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