JOHNNY R WILLIS

FLORENCE, SC
NPI1851423222
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: SC  LPCI H 4679)
Enumeration Date2007-03-12
Last Update Date2007-07-08
Business Address
Mr. JOHNNY R WILLIS LPCI CACI
601 GREGG AVE
FLORENCE, SC 29501
Phone number: 843-664-3919
Mailing Address
Mr. JOHNNY R WILLIS LPCI CACI
PO BOX 6196
FLORENCE, SC 29502
Phone number: 843-664-3919
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