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Individual
WILLIAM G UTLEY
Active
Individual
WILLIAM G UTLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW, CADCII, CPS
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
L7755
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1114058898
—
OR
05
—
1720105489
—
OR
Enumeration date
03/06/2013
Last updated
03/24/2021
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