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NPI Code Detail

MEDICARE: GAIL ELIZABETH WILLIAMS

MEDICARE: GAIL ELIZABETH 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
1101Y00000XCounselorLPCC CC00035MN
2101YM0800XMental Health CounselorLPCC CC00035MN
3101YP2500XProfessional CounselorLPCC CC00035MN

General Provider Information

NPI Number : 1396973111
Entity Type Code : Individual
Provider Name (Legal Business Name) : GAIL ELIZABETH WILLIAMS
Provider Business Mailing Address
First Line : 603 BRUCE ST
Second Line :
City : CROOKSTON
State : MN
Zip : 56716-2914
Country : US
Telephone Number : 218-281-3940
Fax Number : 218-281-6261
Provider Business Practice Location Address
First Line : 603 BRUCE ST
Second Line :
City : CROOKSTON
State : MN
Zip : 56716-2914
Country : US
Telephone Number : 218-281-3940
Fax Number : 218-281-6261
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/01/2009
Last Update Date : 07/01/2009

Similar Medicare Providers

1598734147 — MRS. SHANNON LEA KRONLUND LICSW
Practice Location Address:
603 BRUCE ST
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1487611737 — MS. CHERI LYNN AMES LICSW
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1265586440 — DR. PAUL O. MICHELS MD
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1205025244 — MS. TRICIA JEANNE HELLERUD LICSW
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56716-2914
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1568639169 — JANET MARIE DENISON LICSW, LADC
Practice Location Address:
603 BRUCE ST
CROOKSTON, MN
56716-2914
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1942438239 — MR. CHRISTOPHER J GREEN MSW, LICSW
Practice Location Address:
603 BRUCE ST
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56716-2914
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Directions to “ GAIL ELIZABETH WILLIAMS ” Practice Location

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