Individual
MR. DAVID A WILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICDC-CS, LPC
Contact information
Practice address
1375 RAFF RD SW, CANTON, OH 44710-2317
(330) 479-1912
Mailing address
624 MARKET AVE N, CANTON, OH 44702-1017
(330) 327-4826
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
872350
OH
101YM0800X
Mental Health Counselor
C2285
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0189603
—
OH
Enumeration date
09/19/2016
Last updated
09/25/2020
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