Individual
MITCHELL WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CASACT
Contact information
Practice address
396 BROADWAY, MONTICELLO, NY 12701-1157
(845) 794-8080
(845) 794-8343
Mailing address
8 WISNER AVE, MIDDLETOWN, NY 10940-4519
(845) 283-4417
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
06/04/2010
Last updated
06/04/2010
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