Individual
BUFFY RENEA WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
1203 AMERICAN GREETING CARD RD, CORBIN, KY 40701-4811
(606) 528-7010
Mailing address
PO BOX 568, CORBIN, KY 40702-0568
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
161500
KY
101YM0800X
Mental Health Counselor
Primary
171065
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100435370
—
KY
Enumeration date
05/15/2014
Last updated
01/16/2017
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