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General NPI Number Information
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NPI Number | 1679252936
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Entity Type | Organization
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Legal Business Name | RACHEL WILLIAMSON LLC
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Dates
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Enumeration Date | 07/13/2023
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Last Update Date | 07/13/2023
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Provider Practice Location Address
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Address Line | 9666 OLIVE BLVD
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City | OLIVETTE
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State | MO
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Zip | 63132-3013
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Country | US
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Telephone | 217-242-8679
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Fax |
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Provider Business Mailing Address
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Address Line | 9666 OLIVE BLVD
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City | OLIVETTE
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State | MO
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Zip | 63132-3013
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Country | US
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Telephone | 217-242-8679
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Fax |
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Authorized Official
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Title or Position | LICENSED PROFESSIONAL COUNSELOR
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Name | RACHEL WILLIAMSON
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Credential | MS, LPC, MARS
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Telephone | 217-242-8679
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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 |
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