Doctor Name: | KELLY MARIE WILLIAMS |
NPI Number: | 1013052745 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMHC |
License Number: | 4778 |
Business Practice Address: | 118 Long Pond Rd Plymouth, MA - 023602662 |
Business Phone Number: | 5087477783 |
Business Fax Number: | 5087477838 |
Mailing Address: | 118 Long Pond Rd, PLYMOUTH |
State: | MA |
Postal Code: | 023602662 |
Phone Number: | 5087477783 |
Fax Number: | 5087477838 |
NPI Enumeration Date: | 02/20/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 4778 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | MA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |