Individual
GERALD H WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1512 RIVER CREST CT, LAS VEGAS, NV 89106-1983
(702) 858-4543
Mailing address
1512 RIVER CREST CT, LAS VEGAS, NV 89106-1983
(702) 858-4543
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
02/22/2019
Last updated
02/22/2019
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