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NPI Code Detail

MEDICARE: CYDNE WILLIAMS

MEDICARE: CYDNE 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
1101YM0800XMental Health CounselorP008438NC
2101YA0400XAddiction (Substance Use Disorder) CounselorLCAS-22346NC

General Provider Information

NPI Number : 1851713424
Entity Type Code : Individual
Provider Name (Legal Business Name) : CYDNE WILLIAMS
Provider Business Mailing Address
First Line : 401 ROBESON ST
Second Line :
City : FAYETTEVILLE
State : NC
Zip : 28301-5635
Country : US
Telephone Number : 910-321-0069
Fax Number :
Provider Business Practice Location Address
First Line : 401 ROBESON ST
Second Line :
City : FAYETTEVILLE
State : NC
Zip : 28301-5635
Country : US
Telephone Number : 910-321-0069
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/15/2014
Last Update Date : 10/26/2016

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Directions to “ CYDNE WILLIAMS ” Practice Location

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