Provider Demographics
NPI:1568144038
Name:WILLIAMS, REBEKKA ANN
Entity Type:Individual
Prefix:MRS
First Name:REBEKKA
Middle Name:ANN
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:REBEKKA
Other - Middle Name:ANN
Other - Last Name:FEARS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMFT
Mailing Address - Street 1:2430 COOLIDGE AVE
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94601-2636
Mailing Address - Country:US
Mailing Address - Phone:510-388-2329
Mailing Address - Fax:
Practice Address - Street 1:2430 COOLIDGE AVE
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94601-2636
Practice Address - Country:US
Practice Address - Phone:510-388-2329
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-03
Last Update Date:2023-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA51370106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist