Doctor Name: | JENNIFER R WILLIAMS |
NPI Number: | 1003177312 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PCC-S |
License Number: | E.0602040 |
Business Practice Address: | 1301 N High St Columbus, OH - 432012460 |
Business Phone Number: | 6142276865 |
Business Fax Number: | 6142276873 |
Mailing Address: | 1301 N High St, COLUMBUS |
State: | OH |
Postal Code: | 432012460 |
Phone Number: | 6142276865 |
Fax Number: | 6142276873 |
NPI Enumeration Date: | 06/04/2012 |
NPI Last Update Date: | 06/04/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | E.0602040 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |