Individual provider · Type 1 NPI

Jerry Lee Williams

Addiction (Substance Use Disorder) Counselor · Los Angeles, CA

NPI number 1902028087 Active

Practice location

4041 Marlton Ave, Suite 136
Los Angeles, CA 90008-2519

Call (323) 294-6400 Map

Fax (323) 294-6400

Mailing address

962 W 42nd Pl
Los Angeles, CA 90037-2511

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1902028087

Jerry Lee Williams's National Provider Identifier is 1902028087, issued on May 2, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Los Angeles, CA. The record was last updated on Jul 8, 2007.