Individual
ROBERT JOHN WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LADC, LPC, LAC
Contact information
Practice address
115 WILLOW ST W, DETROIT LAKES, MN 56501-3922
(218) 844-5191
(218) 844-5193
Mailing address
1202 23RD ST S, FARGO, ND 58103-2951
(701) 293-0736
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1685
ND
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
302910
MN
101YP2500X
Professional Counselor
1100
MN
Other
Enumeration date
09/27/2013
Last updated
09/27/2013
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