Individual
GRACE WILLIAMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
246 NORTHLAND DR STE 200A, MEDINA, OH 44256-3440
(330) 725-9195
Mailing address
246 NORTHLAND DR STE 200A, MEDINA, OH 44256-3440
(330) 725-9195
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C.2002490
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0391331
—
OH
Enumeration date
02/18/2020
Last updated
02/26/2020
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