Individual
ALIXZANDRIA ELEXIS WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2160 W GRANT LINE RD, TRACY, CA 95377-7330
(209) 597-3587
Mailing address
2160 W GRANT LINE RD, TRACY, CA 95377-7330
(209) 597-3587
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
APCC9335
CA
101YP2500X
Professional Counselor
APCC9335
CA
Other
Enumeration date
02/23/2023
Last updated
02/23/2023
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