Individual
CARLENE D. WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHCA
Contact information
Practice address
124 BEECH AVE, TIVERTON, RI 02878-1412
(401) 662-3143
Mailing address
124 BEECH AVE, TIVERTON, RI 02878-1412
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
MHC00227
RI
Other
Enumeration date
05/05/2021
Last updated
12/10/2025
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