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Individual
MARK A WILLIAMS
Active
Individual
MARK A WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC III/LPC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
11-06-113
OR
101YM0800X
Mental Health Counselor
Primary
—
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500738399
—
OR
05
—
500738403
—
OR
01
—
C7120
OREGON LPC LISC.
OR
Enumeration date
11/02/2010
Last updated
12/06/2022
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