| Doctor Name: | MS. RODNA SUE WILLETT |
| NPI Number: | 1235113499 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | L.P.C. |
| License Number: | 13853 |
| Business Practice Address: | 520 S Highway 347 Suite 106 Nederland, TX - 776274204 |
| Business Phone Number: | 4097275433 |
| Business Fax Number: | 8773762409 |
| Mailing Address: | 520 S Highway 347, Suite 106 NEDERLAND |
| State: | TX |
| Postal Code: | 776274204 |
| Phone Number: | 4097275433 |
| Fax Number: | 8773762409 |
| NPI Enumeration Date: | 12/01/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 13853 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |