Individual
AMY WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC, CCFC
Contact information
Practice address
1219 GUSDORF RD STE E, TAOS, NM 87571-6499
(575) 770-9581
Mailing address
PO BOX 1293, TAOS, NM 87571-1293
(575) 770-9581
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
F18506
—
101YP2500X
Professional Counselor
Primary
005527
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10859519
—
NM
Enumeration date
01/24/2007
Last updated
11/30/2022
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