Individual
MS. MARY A. WILLINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
315 E WASHINGTON ST, GREENSBORO, NC 27401-2911
(336) 387-6161
(336) 387-9167
Mailing address
902 BONNER DR, JAMESTOWN, NC 27282-8948
(336) 889-6105
(336) 384-9167
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2119
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6103455
—
NC
Enumeration date
12/15/2006
Last updated
02/26/2008
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