Individual
MS. SALLY A WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LCPC
Contact information
Practice address
91 CAMDEN ST STE 212, ROCKLAND, ME 04841-2421
(208) 927-0287
(208) 927-0287
Mailing address
PO BOX 140, WALDOBORO, ME 04572-0140
(208) 927-0287
(208) 620-3939
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CC6533
ME
101YM0800X
Mental Health Counselor
LCPC-6197
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CC6533
PROFESSIONAL LICENSE
ME
01
—
LCPC-6197
PROFESSIONAL LICENSE
ID
Enumeration date
05/15/2008
Last updated
11/12/2024
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