Individual
CLINTON TREY WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
425 BROADWAY ST, PADUCAH, KY 42001-0713
(270) 442-8039
Mailing address
425 BROADWAY ST, PADUCAH, KY 42001-0713
(270) 442-8039
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
283016
KY
Other
Enumeration date
09/19/2023
Last updated
09/19/2023
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