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NPI Code Detail

MEDICARE: MS. RETTA ARLENE WILLIAMS

MEDICARE:  MS. RETTA ARLENE WILLIAMS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor72821TX

General Provider Information

NPI Number : 1124582119
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. RETTA ARLENE WILLIAMS
Provider Business Mailing Address
First Line : 13221 SAGE MEADOW LN
Second Line :
City : PEARLAND
State : TX
Zip : 77584-5183
Country : US
Telephone Number : 281-965-2949
Fax Number :
Provider Business Practice Location Address
First Line : 15311 VANTAGE PKWY W STE 309
Second Line :
City : HOUSTON
State : TX
Zip : 77032-1962
Country : US
Telephone Number : 281-965-2949
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/24/2019
Last Update Date : 01/24/2019

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Directions to “ MS. RETTA ARLENE WILLIAMS ” Practice Location

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