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NPI Code Detail

MEDICARE: CAROL LEE WILLIAMS M.ED, MHP, THERAPIST

MEDICARE: CAROL LEE WILLIAMS M.ED, MHP, THERAPIST
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
1101Y00000XCounselorCG60256265WA

General Provider Information

NPI Number : 1730692963
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAROL LEE WILLIAMS M.ED, MHP, THERAPIST
Provider Business Mailing Address
First Line : 3722 S HUDSON ST
Second Line :
City : SEATTLE
State : WA
Zip : 98118-1920
Country : US
Telephone Number : 206-721-5542
Fax Number : 206-721-5917
Provider Business Practice Location Address
First Line : 3722 S HUDSON ST
Second Line :
City : SEATTLE
State : WA
Zip : 98118-1920
Country : US
Telephone Number : 206-721-5542
Fax Number : 206-721-5917
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/09/2017
Last Update Date : 11/09/2017

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