Individual
MS. TRACEY L. WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CSAC
Contact information
Practice address
2404 AIRLINE BLVD, PORTSMOUTH, VA 23701-2912
(757) 488-9382
Mailing address
2404 AIRLINE BLVD, PORTSMOUTH, VA 23701-2912
(757) 488-9382
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0710102355
VA
Other
Enumeration date
09/08/2009
Last updated
09/08/2009
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