Provider Demographics
NPI:1043391394
Name:WILLIAMS, LAURIE KAY (LMFT)
Entity Type:Individual
Prefix:MS
First Name:LAURIE
Middle Name:KAY
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1588 HOMESTEAD RD
Mailing Address - Street 2:SUITE#3
Mailing Address - City:SANTA CLARA
Mailing Address - State:CA
Mailing Address - Zip Code:95050-4783
Mailing Address - Country:US
Mailing Address - Phone:408-246-7996
Mailing Address - Fax:408-248-4298
Practice Address - Street 1:1588 HOMESTEAD RD
Practice Address - Street 2:SUITE#3
Practice Address - City:SANTA CLARA
Practice Address - State:CA
Practice Address - Zip Code:95050-4783
Practice Address - Country:US
Practice Address - Phone:408-246-7996
Practice Address - Fax:408-248-4298
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC13667101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health