Individual
ERNIE MICHAEL WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC
Contact information
Practice address
48 INDEPENDENCE DR, HAZARD, KY 41701-9443
(606) 487-1646
(606) 487-1746
Mailing address
1182 HIGHWAY 3410, MAYKING, KY 41837-9066
(606) 899-0910
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
118110
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1183054
—
KY
Enumeration date
05/11/2018
Last updated
06/16/2018
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