Doctor Name: | MS. DEBRA JANE WILLIS |
NPI Number: | 1144434416 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | P0208039 |
Business Practice Address: | 800 S Church St Jonesboro, AR - 724014176 |
Business Phone Number: | 8709359911 |
Business Fax Number: | 8709353450 |
Mailing Address: | 828 Plum Hill Dr, JONESBORO |
State: | AR |
Postal Code: | 724018914 |
Phone Number: | 8709311952 |
Fax Number: | |
NPI Enumeration Date: | 05/09/2007 |
NPI Last Update Date: | 02/17/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | P0208039 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |