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NPI 1306687884

NPI 1306687884 : JAMIE WILLIAMS MA, MPH : MORGANTOWN, WV

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General NPI Number Information
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    NPI Number           |    1306687884
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    Entity Type          |    Individual 
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    Provider Name        |    JAMIE WILLIAMS MA, MPH
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/06/2024
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    Last Update Date     |    04/10/2025
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Provider Practice Location Address
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    Address Line         |    1005 WHITE WILLOW WAY 
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    City                 |    MORGANTOWN
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    State                |    WV
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    Zip                  |    26505-6119
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    Country              |    US
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    Telephone            |    304-212-7238
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1401 VAN VOORHIS RD APT 1111 
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    City                 |    MORGANTOWN
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    State                |    WV
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    Zip                  |    26505-2558
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    Country              |    US
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    Telephone            |    304-992-1526
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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        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    
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    License Number State |    WV
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Taxonomy #2
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    Taxonomy Code        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    926
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    License Number State |    WV
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