MEDICARE: PROF. ROSEMARY B WILLIAMS BCCR-LADC

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	101YA0400X	Addiction (Substance Use Disorder) Counselor	1026269-CDT	MN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	6J72RA	OTHER	MN	BLUECROSS&BLUE SHEILD #

General Provider Information

NPI Number	:	1740288893
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PROF. ROSEMARY B WILLIAMS BCCR-LADC

Provider Business Mailing Address
First Line	:	2103 LYNDALE AVE N
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55411-2734
Country	:	US
Telephone Number	:	612-529-8874
Fax Number	:	612-529-2050

Provider Business Practice Location Address
First Line	:	118 VICTORIA ST N
Second Line	:
City	:	SAINT PAUL
State	:	MN
Zip	:	55104-7114
Country	:	US
Telephone Number	:	651-224-6200
Fax Number	:	651-221-0457

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

Provider Enumeration Date	:	07/12/2005
Last Update Date	:	07/08/2007

Similar Medicare Providers

1972729200 — RAYS OF HOPE UNLIMITED
Practice Location Address:

118 VICTORIA ST N
SAINT PAUL, MN
55104-7114

Practice Phone: 651-224-6200
Practice Fax: 651-221-0457

1902123474 — DR. DAVID SHAI OLANDER M.D.
Practice Location Address:

7114 KINGSBURY BLVD
SAINT LOUIS, MO
63130-4306

Practice Phone: 314-863-7015
Practice Fax:

1477672566 — KATHRYN SIH
Practice Location Address:

709 UNIVERSITY AVE W
SAINT PAUL, MN
55104-4804

Practice Phone: 651-227-8471
Practice Fax:

1316896764 — EASE OF TRANSPORTATION
Practice Location Address:

605 FAIRVIEW AVE N STE 17
SAINT PAUL, MN
55104-1709

Practice Phone: 612-547-1307
Practice Fax:

1730039025 — PAIGE LYNN HENDRICKSON
Practice Location Address:

475 CLEVELAND AVE N STE 316
SAINT PAUL, MN
55104-5051

Practice Phone: 612-889-3398
Practice Fax:

1235008228 — NONG VANG
Practice Location Address:

1919 UNIVERSITY AVE W STE 200
SAINT PAUL, MN
55104-3435

Practice Phone: 651-266-7890
Practice Fax:

Directions to “ PROF. ROSEMARY B WILLIAMS BCCR-LADC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.