Doctor Name: | CRYSTAL WILLIAMS |
NPI Number: | 1770992968 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A, NCC, LPC |
License Number: | 4367 |
Business Practice Address: | 189 Nelda Cir Stonewall, LA - 710785412 |
Business Phone Number: | 3182453906 |
Business Fax Number: | |
Mailing Address: | 189 Nelda Cir, STONEWALL |
State: | LA |
Postal Code: | 710785412 |
Phone Number: | 3182453906 |
Fax Number: | |
NPI Enumeration Date: | 08/13/2014 |
NPI Last Update Date: | 08/13/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 4367 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |