| Doctor Name: | NEAL KENNETH WILLING |
| NPI Number: | 1629204011 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LPC |
| License Number: | 6401003147 |
| Business Practice Address: | 4709 Michigan Ave Tipton, MI - 492879734 |
| Business Phone Number: | 5174566353 |
| Business Fax Number: | 5174564894 |
| Mailing Address: | 4709 Michigan Ave, TIPTON |
| State: | MI |
| Postal Code: | 492879734 |
| Phone Number: | 5174566353 |
| Fax Number: | 5174564894 |
| NPI Enumeration Date: | 05/31/2009 |
| NPI Last Update Date: | 05/31/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 6401003147 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |