Doctor Name: | LEONARD E WILLIAMS |
NPI Number: | 1376764100 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | CP00000772 |
Business Practice Address: | 1711 Collins Rd Selah, WA - 989428922 |
Business Phone Number: | 5096985013 |
Business Fax Number: | |
Mailing Address: | 1711 Collins Rd, SELAH |
State: | WA |
Postal Code: | 989428922 |
Phone Number: | 5096985013 |
Fax Number: | |
NPI Enumeration Date: | 05/01/2007 |
NPI Last Update Date: | 11/01/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | CP00000772 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |