Provider Demographics
NPI:1013661206
Name:DUBOSE-WILLIAMS, ADEZZA (LPC 05066)
Entity type:Individual
Prefix:
First Name:ADEZZA
Middle Name:
Last Name:DUBOSE-WILLIAMS
Suffix:
Gender:F
Credentials:LPC 05066
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2231 VICTORY LN STE 700
Mailing Address - Street 2:
Mailing Address - City:HOOVER
Mailing Address - State:AL
Mailing Address - Zip Code:35216-6302
Mailing Address - Country:US
Mailing Address - Phone:205-552-2370
Mailing Address - Fax:
Practice Address - Street 1:2231 VICTORY LN STE 700
Practice Address - Street 2:
Practice Address - City:HOOVER
Practice Address - State:AL
Practice Address - Zip Code:35216-6302
Practice Address - Country:US
Practice Address - Phone:205-552-2370
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-07
Last Update Date:2023-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALC3978A101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health