Provider Demographics
NPI:1508464793
Name:WEBB, WILLYN (LPC)
Entity Type:Individual
Prefix:
First Name:WILLYN
Middle Name:
Last Name:WEBB
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3026 1360 RD
Mailing Address - Street 2:
Mailing Address - City:DELTA
Mailing Address - State:CO
Mailing Address - Zip Code:81416-8745
Mailing Address - Country:US
Mailing Address - Phone:970-250-8636
Mailing Address - Fax:
Practice Address - Street 1:3026 1360 RD
Practice Address - Street 2:
Practice Address - City:DELTA
Practice Address - State:CO
Practice Address - Zip Code:81416-8745
Practice Address - Country:US
Practice Address - Phone:970-250-8636
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-11
Last Update Date:2020-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor