Charnelle Willis
Charnelle Willis is a Mental Health Counselor in Port St Lucie, Florida. Registered with an NPI since 2018.
- In the registry since
- 2018
Practice location Address checks out
525 NW Lake Whitney PlPort St Lucie, FL 34986-1605
Phone: (772) 337-8164
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1104300623 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | September 20, 2018 |
| Last updated in NPPES | September 20, 2018 |
| Mailing address | 4977 Nw Foxworth Ave, Port St Lucie, FL 34983-2302 |
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