Williams, Konisha

Williams, Konisha is an individual health care provider with primary practice located at 45 Executive Dr , Jackson TN 38305-2337. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Williams, Konisha can be contacted via phone (731) 664-2083.

Contact Information

Primary practice address
45 Executive Dr Jackson TN 38305-2337
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1649319914
LBN Legal business name Williams, Konisha
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 5th, 2007
Last updated Jul 8th, 2007 - about 17 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.

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