Individual
THEODORA VAUGHN WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDCI
Contact information
Practice address
333 CHURCH ST, WRANGELL, AK 99929
(907) 305-3055
(907) 874-2576
Mailing address
BOX 1731, 219 GREIF ST, WRANGELL, AK 99929
(907) 305-3055
(907) 874-2576
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
2673
AK
Other
Enumeration date
07/01/2008
Last updated
07/01/2008
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