Provider Demographics
NPI:1144753872
Name:WILLIAMS, FIONNA
Entity Type:Individual
Prefix:
First Name:FIONNA
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 1:24 COLONELS DR
Mailing Address - Street 2:APT 2
Mailing Address - City:EAST WEYMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02189-2447
Mailing Address - Country:US
Mailing Address - Phone:617-981-4303
Mailing Address - Fax:
Practice Address - Street 1:24 COLONELS DR
Practice Address - Street 2:APT 2
Practice Address - City:EAST WEYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02189-2447
Practice Address - Country:US
Practice Address - Phone:617-981-4303
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-10
Last Update Date:2017-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician