Individual
TERRY JEROME WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
2904 ARKANSAS BLVD, TEXARKANA, AR 71854-2536
(870) 773-4655
(870) 772-4650
Mailing address
2904 ARKANSAS BLVD, TEXARKANA, AR 71854-2536
(870) 773-4655
(870) 772-4650
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
A2205005
AR
101YA0400X
Addiction (Substance Use Disorder) Counselor
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Other
Enumeration date
05/17/2018
Last updated
05/23/2022
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