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General NPI Number Information
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NPI Number | 1568917474
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Entity Type | Organization
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Legal Business Name | WILLIAMS COUNSELING & RESOURCE CENTER LLC.
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Dates
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Enumeration Date | 08/20/2016
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Last Update Date | 05/20/2019
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Provider Practice Location Address
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Address Line | 4326 W CHEYENNE AVE STE 109
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City | NORTH LAS VEGAS
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State | NV
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Zip | 89032-2484
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Country | US
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Telephone | 702-994-3507
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Fax |
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Provider Business Mailing Address
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Address Line | 326 PARROT HILL AVE
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City | NORTH LAS VEGAS
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State | NV
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Zip | 89032-9071
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Country | US
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Telephone | 702-994-5507
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Fax |
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Authorized Official
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Title or Position | THERAPIST/PRESIDENT
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Name | KATHY C WILLIAMS
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Credential | LCSW
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Telephone | 702-994-3507
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 5090-C
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License Number State | NV
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