Individual
DAVID ANDREW WILLERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMHC-P
Contact information
Practice address
9070 MAIN ST, CLARENCE, NY 14031-1825
(716) 632-3200
Mailing address
9070 MAIN ST, CLARENCE, NY 14031-1825
(716) 632-3200
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
P118642
NY
Other
Enumeration date
11/18/2022
Last updated
11/18/2022
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