MS. Jackie L Williams, MS, LADC

NPI #1922298975 in Ardmore, Oklahoma

Provider Information

NPI Number: 1922298975
Entity Type: Individual
Name: MS. Jackie L Williams, MS, LADC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Credential: MS, LADC
Enumeration Date: Jul 26, 2007
Last Updated: Jul 26, 2007

Practice Location

Address: 2530 SOUTH COMMERCE
City: Ardmore
State: Oklahoma
ZIP Code: 73401
Phone: (580) 223-5070

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary

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