Individual
MR. LEE MARTIN WILLIAMS SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW, SUDC
Contact information
Practice address
186 E. 1800 N., NORTH LOGAN, UT 84341
(435) 213-3062
Mailing address
186 E 1800 N, NORTH LOGAN, UT 84341-2019
(435) 213-3062
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
8132029-6006
UT
1041C0700X
Clinical Social Worker
Primary
8132029-3502
UT
Other
Enumeration date
01/03/2013
Last updated
06/05/2019
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