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Individual

DR. SHANNON RENEE WILLIAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH.D., LCPC

Contact information

Practice address
9500 ARENA DR STE 460B, LARGO, MD 20774-3755
(301) 627-0568
(301) 841-8011
Mailing address
17203 CLAIRFIELD LN, UPPER MARLBORO, MD 20772-3335
(301) 627-0568
(301) 780-5332

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LC1245
MD
101YP2500X
Professional Counselor
Primary
LC1245
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
013226800
MD
Enumeration date
01/17/2007
Last updated
03/17/2018
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