Individual
PROF. ROSEMARY B WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCCR-LADC
Contact information
Practice address
118 VICTORIA ST N, SAINT PAUL, MN 55104-7114
(651) 224-6200
(651) 221-0457
Mailing address
2103 LYNDALE AVE N, MINNEAPOLIS, MN 55411-2734
(612) 529-8874
(612) 529-2050
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1026269-CDT
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6J72RA
BLUECROSS&BLUE SHEILD #
MN
Enumeration date
07/12/2005
Last updated
07/08/2007
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