Individual provider · Type 1 NPI

Robert John Williams, MA, LADC, LPC, LAC

Addiction (Substance Use Disorder) Counselor · Detroit Lakes, MN

NPI number 1740617331 Active

Practice location

115 Willow St W
Detroit Lakes, MN 56501-3922

Fax (218) 844-5193

Mailing address

1202 23rd St S
Fargo, ND 58103-2951

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X302910 (MN)
Addiction (Substance Use Disorder) Counselor 101YA0400X1685 (ND)
Professional Counselor 101YP2500X1100 (MN)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1740617331

Robert John Williams, MA, LADC, LPC, LAC's National Provider Identifier is 1740617331, issued on Sep 27, 2013. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Detroit Lakes, MN. The record was last updated on Sep 27, 2013.