Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP1600X | Pastoral Counselor | WI75632 | FL |
NPI | 1346336690 |
---|---|
Provider Name | Dr. James B. Williams JR. |
First Address | Jacksonville, FL 32226-6584 |
Second Address | Jacksonville, FL 32246-9539 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/10/2006 |
Last Update Date | 08/07/2007 |