Individual
LARRY R. WILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M. DIV., LPC
Contact information
Practice address
1916 UNIVERSITY AVE, OXFORD, MS 38655-4114
(662) 281-1306
(662) 281-1326
Mailing address
1916 UNIVERSITY AVE, OXFORD, MS 38655-4114
(662) 281-1306
(662) 281-1326
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
1971
MS
Other
Enumeration date
02/17/2017
Last updated
02/17/2017
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