Individual
JEFFERSON WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
211 N VETERANS PKWY STE 1, BLOOMINGTON, IL 61704-3568
(309) 663-2229
Mailing address
211 N VETERANS PKWY STE 1, BLOOMINGTON, IL 61704-3568
(309) 663-2229
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180004426
IL
Other
Enumeration date
05/22/2018
Last updated
05/22/2018
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