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Individual

JODI WILLEMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCPC

Contact information

Practice address
153 E CHESTNUT HILL RD STE 209, NEWARK, DE 19713-4047
(302) 509-5888
Mailing address
490 STAMFORD DR APT 111, NEWARK, DE 19711-2789
(302) 981-2701

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LC9141
MD
101YM0800X
Mental Health Counselor
Primary
PC-0000954
DE

Other

Enumeration date
11/18/2016
Last updated
07/10/2023
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