Provider Demographics
NPI:1144409293
Name:WILLIAMS, TRESA
Entity Type:Individual
Prefix:
First Name:TRESA
Middle Name:
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2603 G ST
Mailing Address - Street 2:100
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93301-2878
Mailing Address - Country:US
Mailing Address - Phone:661-323-1233
Mailing Address - Fax:
Practice Address - Street 1:2603 G ST
Practice Address - Street 2:100
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93301-2878
Practice Address - Country:US
Practice Address - Phone:661-323-1233
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-10-25
Last Update Date:2007-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor