Jefferson Williams, LCPC
NPI #1891286191 in Bloomington, Illinois
Provider Information
- NPI Number
- 1891286191
- Entity Type
- Individual
- Name
- Jefferson Williams, LCPC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Professional
- Credential
- LCPC
- Enumeration Date
- May 22, 2018
- Last Updated
- May 22, 2018
Practice Location
- Address
- 211 N VETERANS PKWY STE 1
- City
- Bloomington
- State
- Illinois
- ZIP Code
- 61704-3568
- Phone
- (309) 663-2229
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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