Organization
WILLIS COUNSELING AND CONSULTING, PROFESSIONAL COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE WILLIS (PRESIDENT)
(312) 622-5596
Entity
Organization
Contact information
Practice address
2302 W NORTH AVE STE 1E, CHICAGO, IL 60647-9755
(312) 622-5596
(773) 384-8874
Mailing address
PO BOX 476875, CHICAGO, IL 60647-2277
(312) 622-5596
(773) 384-8874
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
060.009818
IL
Other
Enumeration date
05/13/2008
Last updated
01/09/2010
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