Organization
JEANINE WILLIAMS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEANINE WILLIAMS (OWNER)
(765) 491-1952
Entity
Organization
Contact information
Practice address
8448 E 100 N, LAFAYETTE, IN 47905-8741
(765) 491-1952
Mailing address
8448 E 100 N, LAFAYETTE, IN 47905-8741
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
04/21/2026
Last updated
04/21/2026
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