Provider Demographics
NPI:1235256744
Name:WILLIAMS-MARA, CLAUDIA L (LPC)
Entity Type:Individual
Prefix:MS
First Name:CLAUDIA
Middle Name:L
Last Name:WILLIAMS-MARA
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:229 NE COWLS ST
Mailing Address - Street 2:
Mailing Address - City:MCMINNVILLE
Mailing Address - State:OR
Mailing Address - Zip Code:97128-4816
Mailing Address - Country:US
Mailing Address - Phone:503-472-6894
Mailing Address - Fax:
Practice Address - Street 1:229 NE COWLS ST
Practice Address - Street 2:
Practice Address - City:MCMINNVILLE
Practice Address - State:OR
Practice Address - Zip Code:97128-4816
Practice Address - Country:US
Practice Address - Phone:503-472-6894
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORC0282101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor