Individual
MS. LATINA GAY WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCAS LCMHCS CCS
Contact information
Practice address
104 W FIRE TOWER RD # B, WINTERVILLE, NC 28590-9475
(252) 814-9160
Mailing address
104 W FIRE TOWER RD # B, WINTERVILLE, NC 28590-9475
(252) 814-9160
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1508
NC
101YM0800X
Mental Health Counselor
7889
NC
101YP2500X
Professional Counselor
Primary
7889
NC
Other
Enumeration date
08/10/2009
Last updated
09/10/2021
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