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MR. JERRY LEE WILLIAMS NPI 1902028087


NPI Information

NPI: 1902028087
Provider Name: MR. JERRY LEE WILLIAMS
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
4041 MARLTON AVE
SUITE 136
LOS ANGELES, CA
ZIP 90008
Phone: (323) 294-6400
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MR. Jerry Lee Williams is an addiction (substance use disorder) counselor in Los Angeles, CA. MR. Jerry Lee Williams NPI is 1902028087. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4041 MARLTON AVE
SUITE 136
LOS ANGELES, CA
ZIP 90008-519
Phone: (323) 294-6400
Fax: (323) 294-6400

The enumeration date for this NPI number is 5/2/2007 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YA0400XCounselorAddiction (Substance Use Disorder)Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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