Individual
ANTONIO DANE WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3744 SANTA YNEZ WAY, OCEANSIDE, CA 92056-4319
(760) 806-1495
Mailing address
42592 MEADE CIR, TEMECULA, CA 92592-8187
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
05/02/2013
Last updated
05/02/2013
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