Ford Willoughby, MA, LCPC
Counselor, Professional in Oak Park, IL. Individual provider (NPI-1).
NPI number1255460010
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1255460010
- Entity type
- Individual (NPI-1)
- Name
- Mr. Ford Willoughby
- Credential
- MA, LCPC
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 5, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 180005100 | IL | Yes |
Practice location
1029 Lake StOak Park, IL 60301-1104
Phone 708-271-2864
Mailing address
225 S Taylor AveOak Park, IL 60302-3323
Phone 708-271-2864
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