Doctor Name: | ARTHUR W. WILLISON |
NPI Number: | 1831376565 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MA, LCPC |
License Number: | LC2243 |
Business Practice Address: | 113 National Hwy Lavale, MD - 215027031 |
Business Phone Number: | 3017770633 |
Business Fax Number: | 3107770625 |
Mailing Address: | 113 National Hwy, LAVALE |
State: | MD |
Postal Code: | 215027031 |
Phone Number: | 3017770633 |
Fax Number: | 3107770625 |
NPI Enumeration Date: | 01/24/2008 |
NPI Last Update Date: | 01/24/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | LC2243 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |