Individual
MR. MICHAEL D. WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
15 EAST MAIN STREET, REXBURG, ID 83440
(208) 360-2365
Mailing address
4648 CEDAR BUTTE CIR, REXBURG, ID 83440-4386
(208) 360-2365
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LMFT 3872
ID
Other
Enumeration date
05/09/2007
Last updated
03/03/2014
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