Individual
DIANE KAY WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHS, CADC
Contact information
Practice address
702 W CHESTNUT ST, BLOOMINGTON, IL 61701-2814
(309) 827-6026
(309) 829-0016
Mailing address
702 W CHESTNUT ST, BLOOMINGTON, IL 61701-2814
(309) 827-6026
(309) 829-0016
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
21703
IL
Other
Enumeration date
12/05/2007
Last updated
12/05/2007
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