Individual
JULIE GLASS WILLINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSAC, LCDC
Contact information
Practice address
6115 CAMP BOWIE BLVD STE 220, FORT WORTH, TX 76116-5543
(888) 734-2289
Mailing address
136 ANITA AVE, KELLER, TX 76248-2435
(469) 516-4574
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
6687
TX
Other
Enumeration date
02/07/2024
Last updated
02/07/2024
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