Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101Y00000X | Counselor | 169331 | KY |
N | 101Y00000X | Counselor | 16959 | NC |
N | 101YM0800X | Mental Health Counselor | 169331 | KY |
N | 103K00000X | Behavior Analyst | ||
N | 103K00000X | Behavior Analyst | 1-19-36945 | |
N | 103TH0100X | Health Service | 5926 | NC |
Y | 103TM1800X | Intellectual & Developmental Disabilities | 5926 | NC |
NPI | 1639614126 |
---|---|
Provider Name | Dr. Yolanda Williams |
First Address | Raleigh, NC 27607-6063 |
Second Address | Raleigh, NC 27607-6063 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/12/2016 |
Last Update Date | 29/09/2021 |