Provider Demographics
NPI:1780133702
Name:WC&C-WILLIAMS COUNSELING AND CONSULTATION
Entity type:Organization
Organization Name:WC&C-WILLIAMS COUNSELING AND CONSULTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR/COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:M
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:CSAC, CSIT, LPCIT
Authorized Official - Phone:414-534-8294
Mailing Address - Street 1:404 N MAIN ST STE 501
Mailing Address - Street 2:
Mailing Address - City:OSHKOSH
Mailing Address - State:WI
Mailing Address - Zip Code:54901-4952
Mailing Address - Country:US
Mailing Address - Phone:920-479-1089
Mailing Address - Fax:
Practice Address - Street 1:404 N MAIN ST STE 501
Practice Address - Street 2:
Practice Address - City:OSHKOSH
Practice Address - State:WI
Practice Address - Zip Code:54901-4952
Practice Address - Country:US
Practice Address - Phone:920-478-1089
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-03
Last Update Date:2016-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI15549132251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health