Condra-Williams, Vicki Annette
Condra-Williams, Vicki Annette is an sole proprietor health care provider with primary practice located at 1008 Columbine Ct , Lawrence KS 66049-3789. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Condra-Williams, Vicki Annette can be contacted via phone (785) 856-1055.Contact Information
Primary practice address
1008 Columbine Ct
Lawrence KS 66049-3789
Phone: (785) 856-1055
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Professional | 101YP2500X | LPC2276 | Kansas |
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 2467 | Kansas |
Behavioral Health & Social Service Providers / Counselor | 101Y00000X | 2467 | Kansas |
Profile Details
NPI number | 1881975563 |
---|---|
LBN Legal business name | Condra-Williams, Vicki Annette |
Credentials | LCPC |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Sep 8th, 2011 |
Last updated | Oct 22nd, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1881975563 | NPPES |
Kansas | MEDICAID | 200876090C |
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