Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Chan Willis

Individual provider Mental Health Counselor · NPI 1134663818

Chan Willis is a Mental Health Counselor in Jackson, Mississippi. Licensed in Mississippi. Registered with an NPI since 2016.

Licensed in
MS
In the registry since
2016

Practice location Address checks out

3450 Highway 80 W
Jackson, MS 39209-7201
Phone: (601) 321-2400
Fax: (601) 321-2476
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 0347 (MS)

Record details

NPI number1134663818
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 14, 2016
Last updated in NPPESDecember 14, 2016
Mailing address3450 Highway 80 W, Jackson, MS 39209-7201

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