Most Relevant Information
Provider Data
| NPI Number: | 1003306853 |
| Provider Name: | TERRY JEROME WILLIAMS LAC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/17/2018 |
| Last Updated: | 05/23/2022 |
Provider Practice Location
2904 ARKANSAS BLVD
TEXARKANA
AR
718542536
Practice Location Phone/Fax
| Phone: | 8707734655 |
| Fax: | 8707724650 |
Provider Mailing Location
2904 ARKANSAS BLVD
TEXARKANA
AR
718542536
Provider Mailing Phone/Fax
| Phone: | 8707734655 |
| Fax: | 8707724650 |