Individual
GWENDOLYN RENEE WILLIAMSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8355 ROCKVILLE RD, INDIANAPOLIS, IN 46234-2722
(317) 513-8979
Mailing address
PO BOX 88353, INDIANAPOLIS, IN 46208-0353
(317) 513-8979
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
99100615A
IN
101YP2500X
Professional Counselor
99100615A
IN
Other
Enumeration date
10/27/2020
Last updated
10/27/2020
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