Individual
CLARENCE WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCAS,CCAS,CCS
Contact information
Practice address
800 JEFFERSON ST, SUITE 113, WHITEVILLE, NC 28472-3710
(910) 641-0052
Mailing address
PO BOX 963, LUMBERTON, NC 28359-0963
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6111803
—
NC
Enumeration date
09/27/2006
Last updated
07/08/2007
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