| Organization Name: | WILLIAMS-MADRAY COUNSELING SERVICE |
| NPI Number: | 1033156971 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DALE R WILLIAMS (LICENSED CLINICAL PROFESSIONAL COUN) |
| Mailing Address: | 14007 Buck Ct Upper Marlboro |
| State: | MD US |
| Postal Code: | 207726821 |
| Phone Number: | 3019221334 |
| Fax Number: | 3016277421 |
| NPI Enumeration Date: | 05/31/2006 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | LCO307 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |