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Individual

MR. TODD ALBERT WILLS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
102 HERITAGE WAY NE STE 302, LEESBURG, VA 20176-4544
(703) 771-5100
(703) 777-0170
Mailing address
18274 CAMDENHURST DR, GAINESVILLE, VA 20155-6252
(703) 754-1531

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701003231
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
293820
AMERIGROUP
VA
01
384563
ANTHEM LEESBURG
VA
01
384564
ANTHEM ELMHC
VA
Enumeration date
08/29/2006
Last updated
07/08/2007
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