Individual
JANICE ELAINE WILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LCPC
Contact information
Practice address
111 19TH AVE, MOLINE, IL 61265-3754
(309) 757-0300
(309) 757-0400
Mailing address
111 19TH AVE, MOLINE, IL 61265-3754
(309) 757-0300
(309) 757-0400
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180.005363
IL
Other
Enumeration date
12/14/2007
Last updated
12/14/2007
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