Willis, Darrelle
Willis, Darrelle is an individual health care provider with primary practice located at 45 Executive Dr , Jackson TN 38305-2337. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Willis, Darrelle can be contacted via phone (731) 664-2083.Contact Information
Primary practice address
45 Executive Dr
Jackson TN 38305-2337
Phone: (731) 664-2083
Fax: (731) 664-1988
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X |
Profile Details
| NPI number | 1073706941 |
|---|---|
| LBN Legal business name | Willis, Darrelle |
| Credentials | M.S. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 23rd, 2007 |
| Last updated | Mar 15th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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