Williams, Mickey Dale
Williams, Mickey Dale is an individual health care provider with primary practice located at 621 W Madrone St , Roseburg OR 97470-3090. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Williams, Mickey Dale can be contacted via phone (541) 440-3532.Contact Information
Primary practice address
621 W Madrone St
Roseburg OR 97470-3090
Phone: (541) 440-3532
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 201399 | Texas |
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | T0822 | Oregon |
Profile Details
| NPI number | 1184930588 |
|---|---|
| LBN Legal business name | Williams, Mickey Dale |
| Credentials | LMFT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 23rd, 2010 |
| Last updated | Aug 10th, 2012 - about 13 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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