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General NPI Number Information
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NPI Number | 1881732220
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Entity Type | Individual
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Provider Name | CLINTON MCCRAY WILLIAMS LCMHCS
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Gender | Male
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Dates
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Enumeration Date | 02/01/2007
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Last Update Date | 05/09/2023
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Provider Practice Location Address
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Address Line | 100 ELM ST
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City | WELDON
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State | NC
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Zip | 27890-1934
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Country | US
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Telephone | 522-537-4005
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Fax | 252-537-0329
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Provider Business Mailing Address
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Address Line | PO BOX M
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City | GARYSBURG
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State | NC
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Zip | 27831-0330
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Country | US
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Telephone | 252-532-6570
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Fax | 252-537-4005
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 4547
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 4547
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License Number State | NC
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