CHARNELLE WILLIS

PORT ST LUCIE, FL
NPI1104300623
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2018-09-20
Last Update Date2018-09-20
Business Address
CHARNELLE WILLIS
525 NW LAKE WHITNEY PL
PORT ST LUCIE, FL 34986-1605
Phone number: 772-337-8164
Mailing Address
CHARNELLE WILLIS
4977 NW FOXWORTH AVE
PORT ST LUCIE, FL 34983-2302
Phone number: 954-815-6241