Individual
CHERYL G WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
6901 N 72ND ST, OMAHA, NE 68122-1709
(402) 572-2916
(402) 572-3544
Mailing address
PO BOX 641130, OMAHA, NE 68164-7130
(402) 572-2907
(402) 572-3544
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
275416
NE
Other
Enumeration date
04/13/2007
Last updated
10/11/2007
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