Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225C00000X | Rehabilitation Counselor |
NPI | 1295019370 |
---|---|
Provider Name | Mrs. Jessica Joyce Williams |
First Address | Bethany, OK 73008-2845 |
Second Address | Oklahoma City, OK 73112-2970 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/10/2011 |
Last Update Date | 06/10/2011 |