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General NPI Number Information
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NPI Number | 1346671690
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Entity Type | Organization
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Legal Business Name | MELISSA M WILLIAMS LICENSED COUNSELOR
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Dates
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Enumeration Date | 12/11/2013
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Last Update Date | 12/24/2024
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Provider Practice Location Address
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Address Line | 1804 HERIFORD RD
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City | COLUMBIA
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State | MO
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Zip | 65202-1942
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Country | US
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Telephone | 573-639-1094
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Fax | 573-639-1094
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Provider Business Mailing Address
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Address Line | 1804 HERIFORD RD
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City | COLUMBIA
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State | MO
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Zip | 65202
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Country | US
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Telephone | 573-639-1094
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Fax | 573-639-1094
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Authorized Official
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Title or Position | OWNER/COUNSELOR
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Name | MELISSA MICHELLE WILLIAMS
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Credential | MED, LPC
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Telephone | 573-639-1094
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 2012011623
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License Number State | MO
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