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Terry Williams
Peer Specialist in Montclair, New Jersey
NPI 1932781812

Terry Williams is a Peer Specialist based in Paterson, NJ. Terry Williams practices in Montclair, NJ. The NPI Number for Terry Williams is 1932781812 and holds a License No. (New Jersey).

The current practice location address for Terry Williams is 104 Bloomfield Ave, Montclair, NJ and can be reached out via phone at 973-783-6655 and via fax at 973-233-1396. You can also correspond with Terry Williams through the mailing address at 309 E 22ND ST APT 7, PATERSON, NJ - 07514-2247 (mailing address contact number: ).

Location: 104 Bloomfield Ave, Montclair, NJ, 07514-2247
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Provider Profile Details
NPI Number
1932781812
Provider Name
Terry Williams
Credential
Provider Entity Type
Individual
Gender
Male
Address
104 Bloomfield Ave, Montclair, NJ, 07514-2247
Phone Number
973-783-6655
Fax Number
973-233-1396
Provider Enumeration Date
04/21/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6385907 05 NJ
0580198 05 NJ
institution
Provider Business Practice Location Address Details
Address
104 Bloomfield Ave
City
State
Zip
07042-4723
Phone Number
973-783-6655
Fax Number
973-233-1396
person
Provider Business Mailing Address Details
Address
104 Bloomfield Ave
City
State
Zip
07042-4723
Phone Number
973-783-6655
Fax Number
973-233-1396
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
(New Jersey)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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