Individual
MATTHEW EDWARD WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A., LPC, LCADC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
37LC00172900
NJ
101YP2500X
Professional Counselor
Primary
37PC00419400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12216605
CAQH
NJ
Enumeration date
12/14/2006
Last updated
07/06/2012
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