Individual
JEFFREY WAYNE WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCDC
Contact information
Practice address
4405 SPRING CYPRESS RD, SUITE 111, SPRING, TX 77388-4400
(281) 353-8333
(281) 353-8367
Mailing address
PO BOX 12205, SPRING, TX 77391-2205
(281) 353-8333
(281) 353-8367
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
5392
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0086JB
BCBS GRP
TX
01
—
462564
VALUE OPTION
TX
01
—
8513BH
BCBS INDIVIDUAL
TX
Enumeration date
04/09/2007
Last updated
01/23/2008
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