Doctor Name: | MARY WRIGHT WILLIAMS |
NPI Number: | 1184941114 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | L.P.C., L.M.F.T. |
License Number: | 0701002720 |
Business Practice Address: | 444 Water Ln Tappahannock, VA - 225605090 |
Business Phone Number: | 8048321953 |
Business Fax Number: | |
Mailing Address: | Po Box 695, GLOUCESTER |
State: | VA |
Postal Code: | 230610695 |
Phone Number: | 8048321953 |
Fax Number: | |
NPI Enumeration Date: | 04/30/2010 |
NPI Last Update Date: | 04/30/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 0701002720 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | VA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |