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NPI Code Detail

MEDICARE: MRS. JENNIFER C WILLIAMS LCPC

MEDICARE:  MRS. JENNIFER C WILLIAMS  LCPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor254KS

General Provider Information

NPI Number : 1043369754
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JENNIFER C WILLIAMS LCPC
Provider Business Mailing Address
First Line : 1000 LINCOLN ST
Second Line :
City : EMPORIA
State : KS
Zip : 66801-2449
Country : US
Telephone Number : 620-343-2211
Fax Number : 620-342-1021
Provider Business Practice Location Address
First Line : 1000 LINCOLN ST
Second Line :
City : EMPORIA
State : KS
Zip : 66801-2449
Country : US
Telephone Number : 620-343-2211
Fax Number : 620-342-1021
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/10/2007
Last Update Date : 07/08/2007

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Directions to “ MRS. JENNIFER C WILLIAMS LCPC” Practice Location

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