Individual
CASSIDY WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6458 CITY WEST PKWY, EDEN PRAIRIE, MN 55344-3245
(952) 767-5900
Mailing address
8449 STANLEY AVE S, BLOOMINGTON, MN 55437-1350
(507) 621-0794
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/06/2019
Last updated
12/14/2020
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