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General NPI Number Information
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NPI Number | 1982963054
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Entity Type | Individual
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Provider Name | MELISSA O WILLIAMS ED.S., LPC, NCC
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Gender | Female
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Dates
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Enumeration Date | 05/10/2012
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Last Update Date | 08/29/2024
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Provider Practice Location Address
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Address Line | 12820 BROOKDALE ST
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City | VICTORVILLE
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State | CA
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Zip | 92392-7943
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Country | US
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Telephone | 601-709-9089
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Fax |
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Provider Business Mailing Address
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Address Line | 12820 BROOKDALE ST
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City | VICTORVILLE
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State | CA
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Zip | 92392-7943
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Country | US
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Telephone | 601-709-9089
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 22239
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 1511
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License Number State | MS
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 13311
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 4890
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License Number State | LA
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