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General NPI Number Information
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NPI Number | 1134459134
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Entity Type | Individual
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Provider Name | NICOLE ANDREA WILLIAMS LPC, CSAC, MAC
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Gender | Female
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Dates
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Enumeration Date | 01/13/2010
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Last Update Date | 06/06/2019
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Provider Practice Location Address
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Address Line | 7633 HULL STREET RD SUITE 300
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City | NORTH CHESTERFIELD
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State | VA
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Zip | 23235-6481
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Country | US
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Telephone | 804-955-9259
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Fax | 804-528-5752
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Provider Business Mailing Address
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Address Line | 7633 HULL STREET RD SUITE 300
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City | NORTH CHESTERFIELD
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State | VA
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Zip | 23235-6481
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Country | US
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Telephone | 804-955-9259
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Fax | 804-528-5752
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 0701007037
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 0710102614
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 0701007037
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License Number State | VA
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Taxonomy #4
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 0701007037
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License Number State | VA
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