Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101Y00000X | Counselor | ||
N | 101YP1600X | Pastoral Counselor | ||
N | 101YS0200X | School Counselor |
NPI | 1023489234 |
---|---|
Provider Name | Mr. Derek Franklin Williams |
First Address | Orlando, FL 32859-2456 |
Second Address | Altamonte Springs, FL 32714-5206 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/10/2015 |
Last Update Date | 14/10/2015 |