Individual
DEANNA L WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3757 SANTA ROSALIA DRIVE, #628, LOS ANGELES, CA 90008
(404) 750-5623
Mailing address
PO BOX 191456, LOS ANGELES, CA 90019-9456
(404) 750-5623
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
954505783
—
CA
Enumeration date
06/12/2017
Last updated
06/12/2017
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