Doctor Name: | NATESHA WILLIAMS |
NPI Number: | 1588903710 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CI |
License Number: | 19305 |
Business Practice Address: | 13621 Pine Arbor Trl Manor, TX - 786533953 |
Business Phone Number: | 2108372575 |
Business Fax Number: | |
Mailing Address: | 13621 Pine Arbor Trl, MANOR |
State: | TX |
Postal Code: | 786533953 |
Phone Number: | 2108372575 |
Fax Number: | |
NPI Enumeration Date: | 02/07/2013 |
NPI Last Update Date: | 02/07/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 19305 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |