| Doctor Name: | MS. WANDA TERESA WILLIAMS |
| NPI Number: | 1144222845 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS, LCAS |
| License Number: | 6111762 |
| Business Practice Address: | 327 N Queen St Suite 110 Kinston, NC - 285014984 |
| Business Phone Number: | 2525228002 |
| Business Fax Number: | 2525231685 |
| Mailing Address: | 327 N Queen St, Suite110 KINSTON |
| State: | NC |
| Postal Code: | 285014984 |
| Phone Number: | 2525228002 |
| Fax Number: | 2525231685 |
| NPI Enumeration Date: | 08/12/2005 |
| NPI Last Update Date: | 08/19/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 6111762 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |