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NPI Code Detail

MEDICARE: KRISTI DAWN WILLIAMS

MEDICARE: KRISTI DAWN WILLIAMS
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
1101YM0800XMental Health CounselorC.2405895-TRNEOH

General Provider Information

NPI Number : 1790527067
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTI DAWN WILLIAMS
Provider Business Mailing Address
First Line : 555 MCCLURE RD
Second Line :
City : LEBANON
State : OH
Zip : 45036-9317
Country : US
Telephone Number : 817-846-5137
Fax Number :
Provider Business Practice Location Address
First Line : 175 S MAIN ST
Second Line :
City : CENTERVILLE
State : OH
Zip : 45458-2372
Country : US
Telephone Number : 937-434-0540
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2024
Last Update Date : 06/08/2024

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Directions to “ KRISTI DAWN WILLIAMS ” Practice Location

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