Provider Demographics
NPI:1386901833
Name:WILLIAMSON, TRINA LEE (LPC)
Entity type:Individual
Prefix:MS
First Name:TRINA
Middle Name:LEE
Last Name:WILLIAMSON
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:TRINA
Other - Middle Name:LEE
Other - Last Name:ANDREASEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 69
Mailing Address - Street 2:
Mailing Address - City:KLAWOCK
Mailing Address - State:AK
Mailing Address - Zip Code:99925-0069
Mailing Address - Country:US
Mailing Address - Phone:828-631-3973
Mailing Address - Fax:907-523-4390
Practice Address - Street 1:7300 KLAWOCK HOLLIS HWY
Practice Address - Street 2:
Practice Address - City:KLAWOCK
Practice Address - State:AK
Practice Address - Zip Code:99925
Practice Address - Country:US
Practice Address - Phone:907-523-4386
Practice Address - Fax:907-523-4390
Is Sole Proprietor?:No
Enumeration Date:2012-04-20
Last Update Date:2024-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
NC13470101YP2500X
AK153236101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional