Charles Stephen Willis, M.MFT
Counselor, Professional in Abilene, TX. Individual provider (NPI-1).
NPI number1720160146
StatusActive
Last updated in NPPESDec 9, 2021
Details
- NPI
- 1720160146
- Entity type
- Individual (NPI-1)
- Name
- Mr. Charles Stephen Willis
- Credential
- M.MFT
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 19, 2006
- Certification date
- Dec 9, 2021
- Last updated
- Dec 9, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 9937 | TX | Yes |
| 106H00000X | Marriage & Family Therapist | 1800 | TX |
Practice location
500 Chestnut StSte. 1001
Abilene, TX 79602-1453
Phone 325-437-1001 · Fax 325-437-1005
Mailing address
Po Box 3711Abilene, TX 79604-3711
Phone 325-437-1001 · Fax 325-437-1005
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