Individual provider · Type 1 NPI

Ezra Brandon Williamson I, LPC

Professional Counselor · Green Bay, WI

NPI number 1942953823 Active

Practice location

480 Pilgrim Way # 1300-A
Green Bay, WI 54304-5280

Call (920) 610-5119 Map

Fax (920) 610-5120

Mailing address

1900 Silver Lake Rd NW Ste 110
New Brighton, MN 55112-1789

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X11415 (WI)

Professional Counselor: Definition to come...

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About NPI 1942953823

Ezra Brandon Williamson I, LPC's National Provider Identifier is 1942953823, issued on Jan 31, 2022. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Green Bay, WI. The record was last updated on Jan 8, 2025.