Provider Demographics
NPI:1548446875
Name:WILLIAMS, VALARIE L (LPC)
Entity type:Individual
Prefix:
First Name:VALARIE
Middle Name:L
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 CONGRESS ST
Mailing Address - Street 2:SUITE 207
Mailing Address - City:HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06114-1067
Mailing Address - Country:US
Mailing Address - Phone:860-293-1000
Mailing Address - Fax:860-293-1031
Practice Address - Street 1:1 CONGRESS ST
Practice Address - Street 2:SUITE 207
Practice Address - City:HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06114-1067
Practice Address - Country:US
Practice Address - Phone:860-293-1000
Practice Address - Fax:860-293-1031
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-16
Last Update Date:2016-10-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CT001611101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT008002421Medicare Oscar/Certification