Provider Demographics
NPI:1467569335
Name:WILLIAMS, MARCIA L (LPC)
Entity Type:Individual
Prefix:MS
First Name:MARCIA
Middle Name:L
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3301 W FOREST HOME AVE
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53215-2843
Mailing Address - Country:US
Mailing Address - Phone:414-647-6326
Mailing Address - Fax:414-671-8860
Practice Address - Street 1:2000 E LAYTON AVE
Practice Address - Street 2:#250
Practice Address - City:ST FRANCIS
Practice Address - State:WI
Practice Address - Zip Code:53235
Practice Address - Country:US
Practice Address - Phone:414-489-4125
Practice Address - Fax:414-482-7703
Is Sole Proprietor?:No
Enumeration Date:2006-08-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI42235-030101Y00000X
WI3375-125101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor