Individual
MRS. BIANCA WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
QMHA, PWS
Contact information
Practice address
833 ANDERSON AVE STE 6, COOS BAY, OR 97420-4641
(530) 526-5644
Mailing address
833 ANDERSON AVE STE 6, COOS BAY, OR 97420-4641
(530) 526-5644
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
THW000105206
OR
Other
Enumeration date
08/02/2021
Last updated
08/21/2023
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