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General NPI Number Information
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NPI Number | 1205142262
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Entity Type | Individual
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Provider Name | MAURICE J WILLIAMS LCSW
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Gender | Male
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Dates
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Enumeration Date | 08/27/2010
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Last Update Date | 06/27/2025
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Provider Practice Location Address
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Address Line | 15150 ALEXANDRIA ST
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City | ADELANTO
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State | CA
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Zip | 92301-6119
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Country | US
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Telephone | 619-750-2292
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 4852
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City | CULVER CITY
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State | CA
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Zip | 90231-4852
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Country | US
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Telephone | 619-750-2292
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Fax |
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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