Provider Demographics
NPI:1548788581
Name:WILLIAMS, ADRIANNE (CDCA I)
Entity Type:Individual
Prefix:
First Name:ADRIANNE
Middle Name:
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:CDCA I
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1472 MEREDITH DR
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45231-3239
Mailing Address - Country:US
Mailing Address - Phone:513-853-6560
Mailing Address - Fax:513-541-4555
Practice Address - Street 1:5837 HAMILTON AVE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45224-2923
Practice Address - Country:US
Practice Address - Phone:513-853-6560
Practice Address - Fax:513-541-4555
Is Sole Proprietor?:No
Enumeration Date:2017-08-30
Last Update Date:2017-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH163313101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)