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Individual

MISS CERMILLIA LAVONE WILLIAMS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MBA, MSW

Contact information

Practice address
2655 W GUADALUPE RD STE 7, MESA, AZ 85202-7246
(314) 494-7603
Mailing address
2929 E BROADWAY RD UNIT 29, MESA, AZ 85204-1748
(314) 494-7603

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YP2500X
Professional Counselor
104100000X
Social Worker
1041C0700X
Clinical Social Worker
Primary
LMSW-0800
AZ
1041C0700X
Clinical Social Worker
106H00000X
Marriage & Family Therapist
171M00000X
Case Manager/Care Coordinator
172V00000X
Community Health Worker
CHW0000000455
AZ
175T00000X
Peer Specialist
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
372500000X
Chore Provider
374U00000X
Home Health Aide
376J00000X
Homemaker

Other

Enumeration date
07/16/2018
Last updated
03/10/2026
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