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General NPI Number Information
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NPI Number | 1942302815
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Entity Type | Individual
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Provider Name | PERCY LEE WILLIAMS JR. M.DIV., M.S.
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Gender | Male
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Dates
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Enumeration Date | 09/02/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 307 HAGUE ST
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City | DETROIT
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State | MI
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Zip | 48202-2120
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Country | US
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Telephone | 313-263-6224
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Fax |
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Provider Business Mailing Address
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Address Line | 4646 JOHN R ST
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City | DETROIT
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State | MI
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Zip | 48201-1916
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Country | US
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Telephone | 313-576-1000
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Fax | 313-576-1863
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YP1600X
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Taxonomy Name | Pastoral Counselor
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License Number |
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License Number State |
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