Individual
HEATHER WILLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
129 N MAIN ST, CLEVELAND, GA 30528-1123
(706) 348-4060
Mailing address
4718 QUIET MEADOW LN, FLOWERY BRANCH, GA 30542-3743
(770) 633-8343
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
009655
GA
Other
Enumeration date
07/13/2017
Last updated
07/13/2017
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