Williamson, Larry Adam

Williamson, Larry Adam is an sole proprietor health care provider with primary practice located at 640 E Broadway Ave , Jackson WY 83001-1868. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Williamson, Larry Adam can be contacted via phone (307) 733-2046.

Contact Information

Primary practice address
640 E Broadway Ave Jackson WY 83001-1868
Fax: (307) 733-6289
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X

Profile Details

NPI number 1962544130
LBN Legal business name Williamson, Larry Adam
Credentials LCPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 13th, 2007
Last updated Feb 24th, 2020 - about 6 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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