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Desiree Williams

Counselor, Mental Health in Port Saint Lucie, FL. Individual provider (NPI-1).

NPI number1962085381
StatusActive
Last updated in NPPESMay 3, 2021

Details

NPI
1962085381
Entity type
Individual (NPI-1)
Name
Desiree Williams
Sex
Female
Sole proprietor
Yes
Enumeration date
May 3, 2021
Certification date
May 3, 2021
Last updated
May 3, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental HealthIMH20530FLYes

Practice location

2632 Sw Port St Lucie Blvd Fl 34953
Port Saint Lucie, FL 34953-2845

Phone 772-873-8811

Mailing address

3608 Avenue Q
Fort Pierce, FL 34947-5625

Phone 772-882-2458

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