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NPI Code Detail

MEDICARE: MR. CHRIS A WILLIAMS CDCA

MEDICARE: MR. CHRIS A WILLIAMS CDCA
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
1101YA0400XAddiction (Substance Use Disorder) CounselorCDCA.188485OH

General Provider Information

NPI Number : 1396542726
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. CHRIS A WILLIAMS CDCA
Provider Business Mailing Address
First Line : 68 N TRENTON ST
Second Line :
City : DAYTON
State : OH
Zip : 45417-1725
Country : US
Telephone Number : 937-204-8024
Fax Number :
Provider Business Practice Location Address
First Line : 3559 STANFORD PL
Second Line :
City : DAYTON
State : OH
Zip : 45406-3641
Country : US
Telephone Number : 937-204-8024
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/25/2025
Last Update Date : 02/25/2025

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Directions to “ MR. CHRIS A WILLIAMS CDCA” Practice Location

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