Individual
RICHARD R WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LPC, LAC
Contact information
Practice address
1615 BONFORTE BLVD, PUEBLO, CO 81001-1602
(719) 404-1996
(719) 404-1992
Mailing address
612 FIELD AVE, CANON CITY, CO 81212-2641
(719) 371-8475
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ACD.0001138
CO
101YM0800X
Mental Health Counselor
LPC.0015102
CO
101YP2500X
Professional Counselor
LPC.0015102
CO
Other
Enumeration date
05/14/2008
Last updated
04/16/2026
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