Provider Demographics
NPI:1285470492
Name:WILLS, PAULA (MA, LPCC)
Entity type:Individual
Prefix:
First Name:PAULA
Middle Name:
Last Name:WILLS
Suffix:
Gender:F
Credentials:MA, LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4404 W ANTELOPE RUN CT
Mailing Address - Street 2:
Mailing Address - City:CASTLE ROCK
Mailing Address - State:CO
Mailing Address - Zip Code:80109-3801
Mailing Address - Country:US
Mailing Address - Phone:720-957-2175
Mailing Address - Fax:
Practice Address - Street 1:4404 W ANTELOPE RUN CT
Practice Address - Street 2:
Practice Address - City:CASTLE ROCK
Practice Address - State:CO
Practice Address - Zip Code:80109-3801
Practice Address - Country:US
Practice Address - Phone:720-957-2175
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-08
Last Update Date:2024-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPCC.0022243101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health