Individual
AMY CHRISTEEN WILLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PLPC
Contact information
Practice address
332 STABLE LN, WENTZVILLE, MO 63385-5447
(636) 332-4949
(636) 332-4941
Mailing address
5 RALEIGH HILL CT, WENTZVILLE, MO 63385-7284
(636) 352-7695
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
2018045624
MO
101YM0800X
Mental Health Counselor
2018045624
MO
101YP2500X
Professional Counselor
Primary
2018045624
MO
Other
Enumeration date
08/06/2020
Last updated
08/06/2020
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