Individual
MS. JACKIE L WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LADC
Contact information
Practice address
2530 SOUTH COMMERCE, ARDMORE, OK 73401
(580) 223-5070
(580) 223-5617
Mailing address
PO BOX 189, ARDMORE, OK 73402-0189
(580) 223-5070
(580) 223-5617
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
578
OK
Other
Enumeration date
07/26/2007
Last updated
07/26/2007
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