Individual
TASHARRA LAVETTE WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
2266 N PROSPECT AVE STE 505C, MILWAUKEE, WI 53202-6319
(414) 395-0468
Mailing address
2266 N PROSPECT AVE STE 505C, MILWAUKEE, WI 53202-6319
(414) 395-0468
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6506-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1659892263
—
WI
Enumeration date
07/05/2017
Last updated
04/06/2022
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