Individual
MR. DOUGLAS CARLTON WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S., LP & LMFT
Contact information
Practice address
1516 W LAKE ST, SUITE 103, MINNEAPOLIS, MN 55408-2554
(612) 823-3707
(612) 822-1360
Mailing address
2712 FREMONT AVE S, MINNEAPOLIS, MN 55408-1122
(612) 823-3707
(612) 822-1360
Taxonomy
Speciality
Code
Description
License number
State
103TF0000X
Family Psychologist
LP0994
MN
103TF0200X
Forensic Psychologist
LP0994
MN
103TP2701X
Group Psychotherapy Psychologist
LO0994
MN
106H00000X
Marriage & Family Therapist
Primary
179
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6253218
UBH
—
01
—
66G32WI
BCBS
—
Enumeration date
03/15/2007
Last updated
09/11/2025
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