MEDICARE: RALPH JEROME WILLIAMS JR.

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	101YP2500X	Professional Counselor	LC16641	MD
2	101YP2500X	Professional Counselor	PRC200001711	DC

General Provider Information

NPI Number	:	1922633593
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RALPH JEROME WILLIAMS JR.

Provider Business Mailing Address
First Line	:	342 HARRY S TRUMAN DR
Second Line	:
City	:	UPPER MARLBORO
State	:	MD
Zip	:	20774-2018
Country	:	US
Telephone Number	:	202-607-8769
Fax Number	:

Provider Business Practice Location Address
First Line	:	342 HARRY S TRUMAN DR
Second Line	:
City	:	UPPER MARLBORO
State	:	MD
Zip	:	20774-2018
Country	:	US
Telephone Number	:	202-607-8769
Fax Number	:

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

Provider Enumeration Date	:	03/04/2020
Last Update Date	:	01/22/2026

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