Individual
DR. BRAD WILLIS SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D., LPC-S
Contact information
Practice address
1122B EDENTON ST, BIRMINGHAM, AL 35242-9256
(205) 907-2855
Mailing address
1122B EDENTON ST, BIRMINGHAM, AL 35242-9256
(205) 422-6637
(205) 839-0950
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2454
AL
101YP2500X
Professional Counselor
Primary
2454
AL
Other
Enumeration date
03/17/2025
Last updated
01/26/2026
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