Valerie Willis, LPC, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

37PC00346500 Issued in NJ

Legal business name

VALERIE WILLIS, LPC, LLC

Practice address

108 W Merchant St
Audubon, NJ 08106-1424

Phone

(856) 546-0664

Fax

(856) 546-1480

NPI assigned

Apr 14, 2014

Last updated

Apr 14, 2014By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Valerie Willis, LPC

Title

Therapist

Phone

(856) 546-0664

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1397433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397433600000",
    "number": "1316366768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 W MERCHANT ST",
            "city": "AUDUBON",
            "state": "NJ",
            "postal_code": "081061424",
            "telephone_number": "856-546-0664",
            "fax_number": "856-546-1480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 W MERCHANT ST",
            "city": "AUDUBON",
            "state": "NJ",
            "postal_code": "081061424",
            "telephone_number": "856-546-0664",
            "fax_number": "856-546-1480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALERIE WILLIS, LPC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-14",
        "last_updated": "2014-04-14",
        "status": "A",
        "authorized_official_last_name": "WILLIS",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "856-546-0664",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00346500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jennifer Adams Webb, M.S., OTR/L

• Professional Counselor in Audubon, NJ
• Providers in Audubon, NJ by specialty
• Professional Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.