Individual
MRS. MICHELLE MARIE WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
589 HOSPITAL DR, SUITE E, WARREN, PA 16365-4875
(814) 723-1330
(814) 723-5744
Mailing address
589 HOSPITAL DR, SUITE E, WARREN, PA 16365-4875
(814) 723-1330
(814) 723-5744
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
066688
NY
1041C0700X
Clinical Social Worker
CW017949
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
066688
LICENSE
NY
Enumeration date
06/12/2007
Last updated
03/17/2014
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