Individual
MR. TERRANCE L. WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BA, CSAC, ICS
Contact information
Practice address
625 W. WASHINGTON AVE, MADISON,, WI 53703
(608) 280-2700
Mailing address
625 W. WASHINGTON AVE, MADISON, WI 53703
(608) 280-2700
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
11576 - 132
WI
101YA0400X
Addiction (Substance Use Disorder) Counselor
12990 - 135
WI
Other
Enumeration date
01/13/2009
Last updated
10/15/2010
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