Individual
MRS. JESSICA K WILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, BCCC
Contact information
Practice address
100 HAZEL PATH, HENDERSONVILLE, TN 37075-3841
(615) 210-1461
Mailing address
908 RIVER BRANCH CT, MOUNT JULIET, TN 37122-2280
16152101461
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/24/2017
Last updated
05/24/2017
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