Individual
SHENISE WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1410 TRAILS OF SUNBROOK, SAINT CHARLES, MO 63301-4014
(636) 893-6194
Mailing address
1410 TRAILS OF SUNBROOK, SAINT CHARLES, MO 63301-4014
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
395500
—
MO
Enumeration date
03/30/2021
Last updated
03/30/2021
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