Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor | 2350 | WV |
NPI | 1003307588 |
---|---|
Provider Name | Abbie Williams |
First Address | Elkins, WV 26241-3608 |
Second Address | Elkins, WV 26241-3608 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/05/2018 |
Last Update Date | 21/05/2018 |