Provider Demographics
NPI:1437024775
Name:WILLIAMS, CHRISTOPHER ELIJAH
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:ELIJAH
Last Name:WILLIAMS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17410 10TH AVE E
Mailing Address - Street 2:
Mailing Address - City:SPANAWAY
Mailing Address - State:WA
Mailing Address - Zip Code:98387-7702
Mailing Address - Country:US
Mailing Address - Phone:253-281-7880
Mailing Address - Fax:253-281-7880
Practice Address - Street 1:17410 10TH AVE E
Practice Address - Street 2:
Practice Address - City:SPANAWAY
Practice Address - State:WA
Practice Address - Zip Code:98387-7702
Practice Address - Country:US
Practice Address - Phone:253-281-7880
Practice Address - Fax:253-281-7880
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-07
Last Update Date:2025-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health