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General NPI Number Information
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NPI Number | 1801275607
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Entity Type | Individual
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Provider Name | CICELY WILLIAMS LPC
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Gender | Female
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Dates
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Enumeration Date | 05/26/2015
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Last Update Date | 04/20/2021
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Provider Practice Location Address
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Address Line | 2503 PINE ST STE 4
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City | ARKADELPHIA
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State | AR
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Zip | 71923-4368
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Country | US
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Telephone | 870-725-6475
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Fax |
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Provider Business Mailing Address
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Address Line | 2503 PINE ST STE 4
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City | ARKADELPHIA
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State | AR
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Zip | 71923-4368
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Country | US
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Telephone | 870-725-6475
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Fax | 870-260-0238
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | P1710365
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License Number State | AR
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