Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor | E.0602040 | OH |
NPI | 1003177312 |
---|---|
Provider Name | Jennifer R Williams |
First Address | Columbus, OH 43201-2460 |
Second Address | Columbus, OH 43201-2460 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/06/2012 |
Last Update Date | 04/06/2012 |