Individual
ORLINDA WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADAC
Contact information
Practice address
1 MAIN STREET, SUPAI, AZ 86435-0129
(928) 448-2641
(928) 448-2312
Mailing address
PO BOX 4391, GALLUP, NM 87305-4391
(928) 514-4715
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
4004
NM
Other
Enumeration date
07/09/2014
Last updated
07/09/2014
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