Individual
MICHAEL RAY WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
3319 N UNIVERSITY AVE STE 100, PROVO, UT 84604-4447
(801) 356-0014
Mailing address
3319 N UNIVERSITY AVE STE 100, PROVO, UT 84604-4447
(801) 356-0014
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
10968926-2501
UT
Other
Enumeration date
12/04/2019
Last updated
12/04/2019
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