Individual
MS. ADA WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
11225 GRABEN DR, SAINT ANN, MO 63074-3316
(314) 616-5619
Mailing address
11225 GRABEN DR, SAINT ANN, MO 63074-3316
(314) 616-5619
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2018017741
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
430652622
—
MO
Enumeration date
05/30/2018
Last updated
01/11/2023
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