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Individual
ED M WILLIAMSON
Active
Individual
ED M WILLIAMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCMHC/LADC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0001000
VT
101YM0800X
Mental Health Counselor
068-0000423
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007279
—
VT
Enumeration date
11/09/2006
Last updated
05/20/2011
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