MEDICARE: TWYLA WILLIAMSON-JONES LSW

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
1	101YM0800X	Mental Health Counselor	S0004513	OH

General Provider Information

NPI Number	:	1376634881
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TWYLA WILLIAMSON-JONES LSW

Provider Business Mailing Address
First Line	:	2595 WELLESLEY RD
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43209-2957
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2595 WELLESLEY RD
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43209-2957
Country	:	US
Telephone Number	:	614-593-5858
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/28/2006
Last Update Date	:	06/30/2011

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