Individual
MR. GARY ALLEN WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CAC II
Contact information
Practice address
124 15TH ST SE, WASHINGTON, DC 20003-1519
(202) 543-4558
(202) 543-4579
Mailing address
5717 CYPRESS CREEK DR APT 303, HYATTSVILLE, MD 20782-1830
(202) 213-1214
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1291
DC
Other
Enumeration date
05/11/2023
Last updated
05/11/2023
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