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Individual

MRS. JANICE LOU WILLIAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC, RPT

Contact information

Practice address
212 NORTH MAIN,, NEVADA, MO 64772
(417) 667-9608
(417) 667-9713
Mailing address
P.O. BOX 607, 212 NORTH MAIN,, NEVADA, MO 64772
(417) 667-9608
(417) 667-9713

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2000155573
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1679557094
MO
05
494709405
MO
Enumeration date
11/30/2005
Last updated
07/17/2013
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