Provider Demographics
NPI:1184370777
Name:WILLIAMS, CHRISLYN COURTNEY (BA IN SOCIOLOGY)
Entity type:Individual
Prefix:
First Name:CHRISLYN
Middle Name:COURTNEY
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:BA IN SOCIOLOGY
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:2470 MALL DR STE CANDD
Mailing Address - Street 2:
Mailing Address - City:NORTH CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29406-6514
Mailing Address - Country:US
Mailing Address - Phone:843-207-4721
Mailing Address - Fax:843-207-4727
Practice Address - Street 1:2470 MALL DR STE CANDD
Practice Address - Street 2:
Practice Address - City:NORTH CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29406-6514
Practice Address - Country:US
Practice Address - Phone:843-207-4721
Practice Address - Fax:843-207-4727
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-23
Last Update Date:2022-02-23
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)