Individual
MS. DANYELL KELLY WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.C.J.
Contact information
Practice address
1647 N 60TH ST, PHILADELPHIA, PA 19151-3908
(267) 972-5648
Mailing address
1647 N 60TH ST, PHILADELPHIA, PA 19151-3908
(267) 972-5648
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
PA
101YP1600X
Pastoral Counselor
—
PA
103K00000X
Behavior Analyst
—
PA
Other
Enumeration date
05/08/2017
Last updated
05/08/2017
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