Individual
DAVIN WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
360 COLUMBUS AVE, SCHOOL BASE CLINIC, NEW HAVEN, CT 06519-1516
(475) 220-7619
(475) 220-7618
Mailing address
400 COLUMBUS AVE, PATIENT ACCOUNTS, NEW HAVEN, CT 06519-1233
(203) 503-3174
(203) 503-3174
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2585
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004235918
—
CT
Enumeration date
09/16/2009
Last updated
12/05/2016
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