Individual
SARA E WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1206 N RIVERSIDE DR, ESPANOLA, NM 87532
(505) 747-7400
Mailing address
3300 RUFINA STREET APT 3, SANTA FE, NM 87507
(510) 507-3278
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
T-0161081
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
78558
—
NM
Enumeration date
09/27/2013
Last updated
09/27/2013
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