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Individual

ALICIA R WILLIAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, LPC

Contact information

Practice address
1300 E BRADFORD PKWY, SPRINGFIELD, MO 65804-4264
(417) 761-5000
(417) 761-5065
Mailing address
1300 E BRADFORD PKWY, SPRINGFIELD, MO 65804-4264
(417) 761-5000
(417) 761-5065

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2019026567
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
14458653
CAQH
MO
05
490072553
MO
Enumeration date
05/02/2019
Last updated
04/15/2025
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