Willis Broadway
Willis Broadway is a Mental Health Counselor in Monroe, Louisiana. Practices as a sole proprietor. Registered with an NPI since 2016.
- In the registry since
- 2016
Practice location Address checks out
1009 S 10th StMonroe, LA 71202-2925
Phone: (318) 791-0533
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1063869998 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | May 20, 2016 |
| Last updated in NPPES | May 20, 2016 |
| Mailing address | 1009 S 10th St, Monroe, LA 71202-2925 |
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