Individual
MR. JASPER DAMIEN WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
3509 NW SAMARITAN DR STE 215, CORVALLIS, OR 97330-3893
(541) 768-5235
Mailing address
PO BOX 1189, CORVALLIS, OR 97339-1189
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LMSW-37446
ID
1041C0700X
Clinical Social Worker
Primary
L12739
OR
Other
Enumeration date
02/28/2018
Last updated
11/17/2021
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