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Individual
KEYONIA WILLIAMS
Active
Individual
KEYONIA WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
4297280
OR
101YM0800X
Mental Health Counselor
Primary
101M0800X
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101YM0800X
VOLUNTEERS OF AMERICA
OR
Enumeration date
07/18/2015
Last updated
05/12/2016
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