Individual
MS. LILLIE WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCAS-A
Contact information
Practice address
559 RANDOLPHVILLE RD NE, BOLIVIA, NC 28422-8859
(910) 512-1806
Mailing address
559 RANDOLPHVILLE RD NE, BOLIVIA, NC 28422-8859
(910) 512-1806
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCAS-30115
NC
Other
Enumeration date
06/02/2025
Last updated
06/03/2025
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