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General NPI Number Information
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NPI Number | 1871487918
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Entity Type | Individual
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Provider Name | QUALONTRA WILLIAMS LMSW
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Gender | Female
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Dates
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Enumeration Date | 06/04/2025
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Last Update Date | 06/04/2025
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Provider Practice Location Address
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Address Line | 1640 S COLUMBIA ST
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City | BOGALUSA
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State | LA
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Zip | 70427-5800
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Country | US
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Telephone | 985-735-1750
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Fax | 985-735-1752
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Provider Business Mailing Address
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Address Line | 46569 WILEY MAGEE RD
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City | FRANKLINTON
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State | LA
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Zip | 70438-7299
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Country | US
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Telephone | 985-322-0100
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 18362
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License Number State | LA
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