Individual
MR. DAVID TIM WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S.
Contact information
Practice address
224 S. ARTHUR SUITE 2, POCATELLO, ID 83204
(208) 242-3771
(208) 242-3772
Mailing address
224 S ARTHUR AVE STE 2, POCATELLO, ID 83204-3202
(208) 242-3771
(208) 242-3772
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
COUI-6369
ID
101YP2500X
Professional Counselor
LCPC-8678
ID
Other
Enumeration date
07/07/2017
Last updated
01/09/2024
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