Individual
MS. GLORIA WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2180 ELLIS ST, AUGUSTA, GA 30904-3524
(706) 910-5707
Mailing address
2180 ELLIS ST, AUGUSTA, GA 30904-3524
(706) 910-5707
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC007566
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101YP2500X
—
GA
Enumeration date
07/11/2014
Last updated
07/11/2014
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