Individual
DEENA WILLIAMSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CDCA, SWA
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
160570
OH
104100000X
Social Worker
Primary
W1600019
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
160570
CDCA
OH
01
—
W1600019
SWA
OH
Enumeration date
10/25/2016
Last updated
10/25/2016
Update your record
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