Provider Demographics
NPI:1609927755
Name:WILLIAMS, MARY FRANCIS (MS, LMFT, PSYD, LP)
Entity Type:Individual
Prefix:DR
First Name:MARY
Middle Name:FRANCIS
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:MS, LMFT, PSYD, LP
Other - Prefix:
Other - First Name:MARY
Other - Middle Name:FRANCES
Other - Last Name:COUNTRYMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4444 CENTERVILLE RD STE 235
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55127-3712
Mailing Address - Country:US
Mailing Address - Phone:651-289-3111
Mailing Address - Fax:651-289-3113
Practice Address - Street 1:4444 CENTERVILLE RD STE 235
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55127-3712
Practice Address - Country:US
Practice Address - Phone:651-289-3111
Practice Address - Fax:651-289-3113
Is Sole Proprietor?:No
Enumeration Date:2007-01-16
Last Update Date:2017-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNLP4498103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical