Doctor Name: | DENISE MARIE WILLIAMS |
NPI Number: | 1023222676 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPCC |
License Number: | E 0600004 |
Business Practice Address: | 741 Scholl Rd Mansfield, OH - 449071571 |
Business Phone Number: | 4197561133 |
Business Fax Number: | 4197567456 |
Mailing Address: | 741 Scholl Rd, MANSFIELD |
State: | OH |
Postal Code: | 449071571 |
Phone Number: | 4197561133 |
Fax Number: | 4197567456 |
NPI Enumeration Date: | 05/10/2007 |
NPI Last Update Date: | 02/22/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | E 0600004 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |