Doctor Name: | J DAWSON WILLIAMS |
NPI Number: | 1013376722 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.MIN., LPC, LMFT |
License Number: | P1604051 |
Business Practice Address: | 4700 W Commercial Dr Ste B1 North Little Rock, AR - 721168089 |
Business Phone Number: | 5018379723 |
Business Fax Number: | |
Mailing Address: | 112 Fair Oaks Dr, JACKSONVILLE |
State: | AR |
Postal Code: | 720764280 |
Phone Number: | 5018379723 |
Fax Number: | |
NPI Enumeration Date: | 02/23/2016 |
NPI Last Update Date: | 04/22/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | P1604051 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | AR |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |