| Doctor Name: | CHARLENE WILLIAMS |
| NPI Number: | 1215310586 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 800191 |
| Business Practice Address: | 4185 Lexington Rd Versailles, KY - 403831736 |
| Business Phone Number: | 8598739277 |
| Business Fax Number: | 8598739280 |
| Mailing Address: | 4185 Lexington Rd, VERSAILLES |
| State: | KY |
| Postal Code: | 403831736 |
| Phone Number: | 8598739277 |
| Fax Number: | 8598739280 |
| NPI Enumeration Date: | 07/06/2015 |
| NPI Last Update Date: | 07/06/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 800191 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |