Individual
JUSTIN R WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC-S
Contact information
Practice address
2990 N SIOUX AVE, CLAREMORE, OK 74017-3700
(918) 342-2622
(918) 342-2641
Mailing address
2990 N SIOUX AVE, CLAREMORE, OK 74017-3700
(918) 342-2622
(918) 342-2641
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
4221
OK
101YA0400X
Addiction (Substance Use Disorder) Counselor
4221
OK
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
4221
OK
Other
Enumeration date
07/10/2007
Last updated
09/09/2020
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