Individual
STANLEY ALLEN WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
17 PACIFIC ST STE B, ST AUGUSTINE, FL 32084-2784
(904) 315-1586
Mailing address
1308 BRENTWOOD CT, ST AUGUSTINE, FL 32086-3241
(904) 315-1586
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MT2667
FL
Other
Enumeration date
02/20/2013
Last updated
02/04/2019
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