Organization
RED WILLOW COUNSELING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEAN DILI (PRESIDENT)
(928) 961-4774
Entity
Organization
Contact information
Practice address
285 N BROAD ST, GLOBE, AZ 85501-2503
(928) 961-4774
Mailing address
285 N BROAD ST, GLOBE, AZ 85501-2503
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
06/17/2021
Last updated
06/17/2021
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