Individual
TERESA JANE WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3113 INNOVATION DR, SAINT CLOUD, FL 34769-6501
(407) 892-5700
Mailing address
171 CALABAY PARC BLVD, DAVENPORT, FL 33897-9516
(863) 256-9210
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
12/19/2023
Last updated
12/19/2023
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