Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YM0800X | Mental Health Counselor |
NPI | 1003087610 |
---|---|
Provider Name | Y'ticcia Y Williams |
First Address | Columbia, SC 29203-6818 |
Second Address | Columbia, SC 29203-6818 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/03/2008 |
Last Update Date | 19/03/2012 |