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NPI Code Detail

MEDICARE: MS. PATRICIA WILLIAMS LPC

MEDICARE: MS. PATRICIA WILLIAMS LPC
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
1101YP2500XProfessional CounselorLPC004740GA

General Provider Information

NPI Number : 1942556188
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. PATRICIA WILLIAMS LPC
Provider Business Mailing Address
First Line : 945 N INDIAN CREEK DR
Second Line :
City : CLARKSTON
State : GA
Zip : 30021-2221
Country : US
Telephone Number : 404-298-9005
Fax Number : 404-298-0046
Provider Business Practice Location Address
First Line : 945 N INDIAN CREEK DR
Second Line :
City : CLARKSTON
State : GA
Zip : 30021-2221
Country : US
Telephone Number : 404-298-9005
Fax Number : 404-298-0046
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/25/2012
Last Update Date : 08/03/2012

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Directions to “ MS. PATRICIA WILLIAMS LPC” Practice Location

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