Individual
MRS. JILL A WILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
331 PINE ST, LEWISTON, ME 04240-6308
(207) 713-4318
Mailing address
331 PINE ST, LEWISTON, ME 04240-6308
(207) 713-4318
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CC3518
ME
Other
Enumeration date
10/24/2006
Last updated
09/23/2010
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