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General NPI Number Information
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NPI Number | 1780133702
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Entity Type | Organization
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Legal Business Name | WC&C-WILLIAMS COUNSELING AND CONSULTATION
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Dates
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Enumeration Date | 10/03/2016
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Last Update Date | 11/16/2016
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Provider Practice Location Address
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Address Line | 404 N MAIN ST STE 501
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City | OSHKOSH
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State | WI
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Zip | 54901-4952
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Country | US
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Telephone | 920-478-1089
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Fax |
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Provider Business Mailing Address
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Address Line | 404 N MAIN ST STE 501
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City | OSHKOSH
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State | WI
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Zip | 54901-4952
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Country | US
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Telephone | 920-479-1089
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Fax |
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Authorized Official
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Title or Position | DIRECTOR/COUNSELOR
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Name | JAMES M WILLIAMS
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Credential | CSAC, CSIT, LPCIT
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Telephone | 414-534-8294
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 15549132
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License Number State | WI
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