Williams, Mayra L

Williams, Mayra L is an individual health care provider with primary practice located at 329 N Genesee St , Waukegan IL 60085-4205. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Williams, Mayra L can be contacted via phone (847) 623-1730.

Contact Information

Primary practice address
329 N Genesee St Waukegan IL 60085-4205
Phone: (847) 623-1730
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 26833 Illinois
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 178.010117 Illinois
Behavioral Health & Social Service Providers / Professional 101YP2500X 180.010285 Illinois

Profile Details

NPI number 1629323928
LBN Legal business name Williams, Mayra L
Credentials LCPC, CADC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 23rd, 2012
Last updated May 17th, 2016 - about 9 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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