Individual
VICKIE LAVETTE WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
25900 GREENFIELD RD STE 415, OAK PARK, MI 48237-1267
(313) 671-0141
Mailing address
25900 GREENFIELD RD STE 415, OAK PARK, MI 48237-1267
(313) 671-0141
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401223269
MI
Other
Enumeration date
05/14/2013
Last updated
05/23/2025
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