Individual
JANEQUA WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDCA
Contact information
Practice address
151 MARION AVE, MANSFIELD, OH 44903-2223
(419) 774-9969
Mailing address
151 MARION AVE, MANSFIELD, OH 44903-2223
(419) 774-9969
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
150529
OH
Other
Enumeration date
06/06/2016
Last updated
06/06/2016
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