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Provider Information for 1386054716


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Mr. LEMUEL OSBERT WILLIAMS NCC, CT, LPC


Sex: Male

NPI: 1386054716
Last Updated: 2020-08-28
Certification Date: 2020-08-28

Details

NameValue
NPI1386054716
Enumeration Date2014-05-07
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 6345 CENTER DR BLDG 14
NORFOLK, VA 23502-4126
United States

Phone: 757-301-4946 | Fax:757-467-8060
 
Primary Practice Address 6345 CENTER DR BLDG 14
NORFOLK, VA 23502-4126
United States

Phone: 757-301-4946 | Fax:757-467-8060
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 101YP2500X - Counselor - ProfessionalVA0701005757