Individual
MR. BENJAMIN WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
109 DOTY ROAD, FERRIDAY, LA, 71334, FERRIDAY, LA 71334-7133
(318) 437-7040
Mailing address
394 FREEMAN ROAD, VIDALIA, LA 71373
(318) 719-1741
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005514607
—
LA
Enumeration date
03/01/2023
Last updated
03/01/2023
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