Individual
CHEVRON JACKIE WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
1731 NW 6TH ST STE B3, GAINESVILLE, FL 32609-8515
(352) 727-2591
Mailing address
1731 NW 6TH ST STE B3, GAINESVILLE, FL 32609-8515
(352) 727-2591
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
IMH18193
FL
Other
Enumeration date
03/23/2021
Last updated
03/23/2021
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