Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Theron Ulysses Williams

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1538772280

Theron Ulysses Williams is an Addiction (Substance Use Disorder) Counselor in Albuquerque, New Mexico. Practices as a sole proprietor. Licensed in New Mexico and Utah.

Licensed in
NM, UT
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

630 Haines Ave NW
Albuquerque, NM 87102-1226
Phone: (505) 268-5611
Fax: (505) 268-5736
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence CTB-2024-0336 (NM)
Case Manager/Care Coordinator Taxonomy 171M00000X (UT)

Record details

NPI number1538772280
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 24, 2020
Last updated in NPPESJune 14, 2024
Certification dateJune 14, 2024

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