Individual
MR. ATO WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW, CASAC-MC
Contact information
Practice address
10 AVONCROFT LANE, MIDDLETOWN, NY 10940
(347) 206-5699
Mailing address
10 AVONCROFT LANE, MIDDLETOWN, NY 10940
(347) 206-5699
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
29696
NY
1041C0700X
Clinical Social Worker
Primary
093968
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
29696
OASAS/CASAC
NY
Enumeration date
11/08/2016
Last updated
04/12/2024
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