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ERIN MARIE WILLOUGHBY MRC, CAP

Mental Health >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1962748616

Individual Registrant:
 ERIN MARIE WILLOUGHBY MRC, CAP
Gender: F
Sole Proprietor

Location and contact information for practice:
4063A HIGHWAY 4  JAY, FL 32565-9796 US
Tel: 937-367-6549  Fax: --

Contact information for business:
4063A HIGHWAY 4  JAY, FL 32565-9796 US
Tel: 937-367-6549  Fax: --

Registration Information:
NPI: 1962748616
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YM0800XBehavioral Health & Social Service Providers
Counselor
Mental Health
FLNONE

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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