Individual
SUBBIE WILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
101 CHARIOT DR, GRIFFIN, GA 30224-8837
(678) 672-7722
Mailing address
101 CHARIOT DR, GRIFFIN, GA 30224-8837
(678) 672-7722
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/06/2021
Last updated
11/14/2021
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