Individual
SHAWN CHENISE WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
800 N TUCKER BLVD, SAINT LOUIS, MO 63101-1008
(314) 802-0700
Mailing address
800 N TUCKER BLVD, SAINT LOUIS, MO 63101-1008
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
12/01/2021
Last updated
12/01/2021
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