Individual
CASSIE WILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2104 LEA ST, PAMPA, TX 79065-3228
(806) 440-2978
(806) 358-4345
Mailing address
2104 LEA ST, PAMPA, TX 79065-3228
(806) 440-2978
(806) 358-4345
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
70645
TX
Other
Enumeration date
08/03/2015
Last updated
08/03/2015
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