Organization
HEALTH AND SOCIAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHANNON F. WILLIAMSON ASW (MENTAL HEALTH CLINICIAN)
(707) 784-2140
Entity
Organization
Contact information
Practice address
2101 COURAGE DR, FAIRFIELD, CA 94533-6717
(707) 784-2140
(707) 784-2164
Mailing address
2191 COX LN, FAIRFIELD, CA 94533-8970
(707) 437-4960
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
13718
CA
Other
Enumeration date
12/23/2006
Last updated
08/22/2020
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