Individual
MS. DEIDRE SHAWN WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCAS-A
Contact information
Practice address
2224 HUDSON LANDINGS DR APT H, GASTONIA, NC 28054-0735
(704) 923-4672
Mailing address
2224 HUDSON LANDINGS DR APT H, GASTONIA, NC 28054-0735
(704) 923-4672
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
2293-A
NC
Other
Enumeration date
01/27/2013
Last updated
01/27/2013
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