Individual
MR. MICHAEL LEROY WILLIAMS II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPRS
Contact information
Practice address
70 W BROAD ST, BRIDGETON, NJ 08302-2421
(856) 451-3727
(856) 455-9706
Mailing address
70 W BROAD ST, BRIDGETON, NJ 08302-2421
(856) 451-3727
(856) 455-9706
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
37CA00175600
NJ
175T00000X
Peer Specialist
Primary
2000324
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0351164
—
NJ
Enumeration date
05/14/2021
Last updated
04/10/2026
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