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NPI Code Detail

MEDICARE: MELISSA WILLIAMSON

MEDICARE:   MELISSA  WILLIAMSON
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
1175T00000XPeer Specialist0001790OH
2101YA0400XAddiction (Substance Use Disorder) CounselorCDCA.168233OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1457818874
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA WILLIAMSON
Provider Business Mailing Address
First Line : 11408 LINNET AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44111-4748
Country : US
Telephone Number : 216-972-5373
Fax Number :
Provider Business Practice Location Address
First Line : 2121 W 117TH ST
Second Line :
City : CLEVELAND
State : OH
Zip : 44111-1642
Country : US
Telephone Number : 216-417-4831
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/21/2019
Last Update Date : 04/12/2023

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Directions to “ MELISSA WILLIAMSON ” Practice Location

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