NPI | 1154054187 |
---|---|
Professional Name | BENNY BLUE WILLIAMS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-28361) |
Enumeration Date | 2022-07-07 |
Last Update Date | 2025-09-11 |