Individual
DUSTIN GRANT WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
4709 ARCHER DR, WILMINGTON, NC 28409-6605
(816) 651-1750
Mailing address
4709 ARCHER DR, WILMINGTON, NC 28409-6605
(816) 651-1750
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
2011009699
MO
103TC1900X
Counseling Psychologist
Primary
4927
NC
Other
Enumeration date
07/27/2016
Last updated
07/27/2016
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