Individual
CHARISSE LAVELL WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1525 E 17TH ST STE B, SANTA ANA, CA 92705-8523
(714) 542-0400
(714) 542-0404
Mailing address
1525 E 17TH ST STE B, SANTA ANA, CA 92705-8523
(714) 542-0400
(714) 542-0404
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
CA
Other
Enumeration date
07/02/2012
Last updated
07/02/2012
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