Individual
JEREMY WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5461 HILLANDALE DR STE 100, LITHONIA, GA 30058-4842
(470) 361-2976
Mailing address
208 OXFORD WAY, OXFORD, GA 30054-2151
(404) 918-4271
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/12/2021
Last updated
08/12/2021
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