Individual
JUSTIN ROBERT WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CADC-I
Contact information
Practice address
121 DOWNEY AVE, MODESTO, CA 95354-1208
(209) 341-1824
Mailing address
121 DOWNEY AVE, MODESTO, CA 95354-1208
(619) 770-0469
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
R1406751020
CA
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
10/09/2020
Last updated
05/20/2025
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