Individual
MR. GLENN WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5215 HIGHWAY AVE, JACKSONVILLE, FL 32254-3632
(904) 423-0017
Mailing address
5215 HIGHWAY AVE, JACKSONVILLE, FL 32254-3632
(904) 423-0017
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
07/10/2014
Last updated
07/10/2014
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