NPI 1043765290

Andrel M Willis, PHDLELMTCHT

Practitioner Health & Wellness Coach Park Forest, IL

Practice location

Address: 362 Wilshire St, Park Forest, IL 60466-1514
Phone: (815) 790-0899

Registered specialties (8)

Health & Wellness Coach Primary

Other Service Providers Taxonomy 171400000X

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Massage Therapist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 227017963 (IL)

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Psychologist

Behavioral Health & Social Service Providers Taxonomy 103T00000X

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Professional Counselor

Behavioral Health & Social Service Providers Taxonomy 101YP2500X

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Professional Counselor

Behavioral Health & Social Service Providers Taxonomy 101YP2500X

Intellectual & Developmental Disabilities Psychologist

Behavioral Health & Social Service Providers Taxonomy 103TM1800X

Drama Therapist

Behavioral Health & Social Service Providers Taxonomy 101200000X

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Behavior Technician

Behavioral Health & Social Service Providers Taxonomy 106S00000X

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Registry record

NPI: 1043765290
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Aug 2016
Record last updated: 5 Nov 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.