Individual
MRS. MARY ALETA WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
32 OAK ST, CUMBERLAND, MD 21502
(301) 724-9171
Mailing address
32 OAK ST, CUMBERLAND, MD 21502
(301) 724-9171
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LC0135
MD
101YP2500X
Professional Counselor
Primary
LC0135
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1X80MA
BCBS
—
01
—
249934001
MAGELLAN
—
01
—
PVPB12110
APS
—
Enumeration date
05/20/2008
Last updated
05/20/2008
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