| Doctor Name: | MRS. DEBORAH WILLIS |
| NPI Number: | 1497923429 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LSW |
| License Number: | S-0026939 |
| Business Practice Address: | 715 Lane St Coal Grove, OH - 45638 |
| Business Phone Number: | 7403558606 |
| Business Fax Number: | 7403531662 |
| Mailing Address: | 901 Washington St, PORTSMOUTH |
| State: | OH |
| Postal Code: | 45662 |
| Phone Number: | 7403558606 |
| Fax Number: | 7403531662 |
| NPI Enumeration Date: | 02/12/2008 |
| NPI Last Update Date: | 02/12/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | S-0026939 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |