Individual
COURTNEY WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(270) 412-3247
Mailing address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(270) 412-3247
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
3955
KY
1041C0700X
Clinical Social Worker
Primary
3955
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100321850
—
KY
Enumeration date
08/29/2012
Last updated
01/31/2019
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