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General NPI Number Information
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NPI Number | 1396292843
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Entity Type | Individual
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Provider Name | LAURA E. WILLIAMS CSAC, LMHC
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Gender | Female
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Dates
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Enumeration Date | 09/01/2016
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Last Update Date | 02/27/2017
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Provider Practice Location Address
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Address Line | 1291 ULUNIU RD APT B4
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City | KIHEI
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State | HI
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Zip | 96753-8253
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Country | US
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Telephone | 860-306-6118
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Fax |
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Provider Business Mailing Address
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Address Line | 1291 ULUNIU RD APT B4
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City | KIHEI
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State | HI
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Zip | 96753-8253
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Country | US
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Telephone | 860-306-6118
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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 | 1856-15
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License Number State | HI
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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 | MHC440
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License Number State | HI
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