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

Darrelle Willis, MS

Individual provider Counselor · NPI 1073706941

Darrelle Willis, MS is a Counselor in Jackson, Tennessee. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
MS — Master of Science
A graduate science degree.

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Practice location Address checks out

45 Executive Dr
Jackson, TN 38305-2337
Phone: (731) 664-2083
Fax: (731) 664-1988
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X

Record details

NPI number1073706941
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS
Sole proprietorNo
NPI enumeratedAugust 23, 2007
Last updated in NPPESMarch 15, 2021
Certification dateMarch 15, 2021
Mailing address103 Southlake Cir, Canton, MS 39046-5369

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