Doctor Name: | MS. LAURIE KAY WILLIAMS |
NPI Number: | 1043391394 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | L.M.F.T. |
License Number: | MFC13667 |
Business Practice Address: | 1588 Homestead Rd Suite#3 Santa Clara, CA - 950504783 |
Business Phone Number: | 4082467996 |
Business Fax Number: | 4082484298 |
Mailing Address: | 1588 Homestead Rd, Suite#3 SANTA CLARA |
State: | CA |
Postal Code: | 950504783 |
Phone Number: | 4082467996 |
Fax Number: | 4082484298 |
NPI Enumeration Date: | 10/17/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | MFC13667 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |