Individual
MICHELLE R. WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADA UNDER SUP.
Contact information
Practice address
605 E 12TH ST, ADA, OK 74820-6605
(580) 436-3504
(580) 436-5047
Mailing address
14962 COUNTY ROAD 3599, ADA, OK 74820-3145
(580) 436-3504
(580) 435-5047
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
08/20/2009
Last updated
08/20/2009
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