Individual
EBONY DE-SHONIA WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
835 MASON ST STE B295-A, DEARBORN, MI 48124-2231
(734) 265-0890
(734) 895-3957
Mailing address
835 MASON ST STE B295-A, DEARBORN, MI 48124-2231
(734) 265-0890
(734) 895-3957
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401223961
MI
Other
Enumeration date
09/27/2019
Last updated
10/06/2025
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