Provider Demographics
NPI:1831475144
Name:MCWILLIAMS, JANICE F (MS, LCPC)
Entity Type:Individual
Prefix:
First Name:JANICE
Middle Name:F
Last Name:MCWILLIAMS
Suffix:
Gender:F
Credentials:MS, LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:126 BRANDON RD
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21212-1127
Mailing Address - Country:US
Mailing Address - Phone:410-983-1259
Mailing Address - Fax:
Practice Address - Street 1:6525 N CHARLES STREET
Practice Address - Street 2:ASDI, GIBSON BLDG, SUITE 224
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21204
Practice Address - Country:US
Practice Address - Phone:410-938-8449
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-01
Last Update Date:2013-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC4974101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional