Individual
ERICA JAZELL WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPC, NCC
Contact information
Practice address
207 W 29TH ST, LUMBERTON, NC 28358-2901
(910) 618-5606
Mailing address
350 PEE DEE AVE, SUITE A, ALBEMARLE, NC 28001-4932
(704) 986-1500
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
5503
SC
101Y00000X
Counselor
8772
NC
101YM0800X
Mental Health Counselor
5503
SC
101YM0800X
Mental Health Counselor
Primary
8772
NC
Other
Enumeration date
06/02/2011
Last updated
12/20/2013
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