Individual
JAN SUSAN WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS LPC
Contact information
Practice address
276 S LAKE HAVASU AVE, #C32, LAKE HAVASU CITY, AZ 86403
(928) 505-1550
(928) 505-1550
Mailing address
276 S LAKE HAVASU AVE, #C32, LAKE HAVASU CITY, AZ 86043
(928) 505-1550
(928) 505-1550
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC2138
AZ
Other
Enumeration date
12/01/2006
Last updated
07/08/2007
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