Individual
ANDREA WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
23950 PRADO LN, COLTON, CA 92324-9734
(909) 514-1958
Mailing address
23950 PRADO LN, COLTON, CA 92324-9734
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
000000
CA
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
R1472530622
CA
Other
Enumeration date
06/08/2022
Last updated
03/07/2023
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