Provider Demographics
NPI:1033241823
Name:WILLIAMS, KRISTI (MFT)
Entity Type:Individual
Prefix:
First Name:KRISTI
Middle Name:
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:406 E HARDY ST APT 4
Mailing Address - Street 2:
Mailing Address - City:INGLEWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90301-8531
Mailing Address - Country:US
Mailing Address - Phone:310-242-1447
Mailing Address - Fax:
Practice Address - Street 1:406 E HARDY ST APT 4
Practice Address - Street 2:
Practice Address - City:INGLEWOOD
Practice Address - State:CA
Practice Address - Zip Code:90301-8531
Practice Address - Country:US
Practice Address - Phone:310-242-1447
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-09
Last Update Date:2007-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist