Individual
SHENA WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1423 CAPITAL TRAIL RD, NEWARK, DE 19702
(302) 518-3049
Mailing address
137 BOGGS RUN, DOVER, DE 19904-1485
(302) 518-3049
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1694
DELAWARE CERTIFICATION BOARD
DE
Enumeration date
05/30/2018
Last updated
05/30/2018
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