Individual
MR. MARC LEE WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
140 DREAM HAVEN LN, MOCKSVILLE, NC 27028-4869
(336) 492-5065
Mailing address
140 DREAM HAVEN LN, MOCKSVILLE, NC 27028-4869
(336) 492-5065
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3101
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6102079
—
NC
Enumeration date
01/01/2007
Last updated
07/08/2007
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