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Individual
JEANINE WILLIAMS
Active
Individual
JEANINE WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCAC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
87001818A
IN
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
87900095A
IN
Other
Enumeration date
09/09/2024
Last updated
05/18/2026
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