MEDICARE: JAMI WILLIAMS LPC

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
1	101Y00000X	Counselor	PC009778	PA
2	101YM0800X	Mental Health Counselor	PC009778	PA
3	101YP2500X	Professional Counselor	PC009778	PA

General Provider Information

NPI Number	:	1073739728
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMI WILLIAMS LPC

Provider Business Mailing Address
First Line	:	8241 CEDARBROOK AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19150-1203
Country	:	US
Telephone Number	:	267-422-7129
Fax Number	:	267-367-5454

Provider Business Practice Location Address
First Line	:	8241 CEDARBROOK AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19150-1203
Country	:	US
Telephone Number	:	267-422-7129
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/18/2007
Last Update Date	:	08/31/2024

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Directions to “ JAMI WILLIAMS LPC” Practice Location

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