Individual
JAKOB DANIEL WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S. LLP
Contact information
Practice address
1 HERITAGE DR STE 520, SOUTHGATE, MI 48195-3051
(734) 215-9800
Mailing address
730 ANTOINE ST, WYANDOTTE, MI 48192-3306
(734) 512-8136
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6361007731
MI
103TC0700X
Clinical Psychologist
6301017702
MI
Other
Enumeration date
04/22/2019
Last updated
09/28/2022
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