Most Relevant Information
Provider Data
| NPI Number: | 1003597410 |
| Provider Name: | SHAVONDA WILLIAMS M.ED, LCMHCA |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | A13241 |
Most Important Dates
| Enumeration Date: | 07/27/2023 |
| Last Updated: | 07/27/2023 |
Provider Practice Location
1023 GATESVILLE DR
HOPE MILLS
NC
283488001
Practice Location Phone/Fax
| Phone: | 9105788605 |
| Fax: |
Provider Mailing Location
1023 GATESVILLE DR
HOPE MILLS
NC
283488001
Provider Mailing Phone/Fax
| Phone: | 9105788605 |
| Fax: |