Provider Demographics
NPI:1619303294
Name:WILLIAMS, AARON MARK
Entity Type:Individual
Prefix:MR
First Name:AARON
Middle Name:MARK
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 1:1214 I ST SE SUITE 11
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20003-4103
Mailing Address - Country:US
Mailing Address - Phone:202-758-3281
Mailing Address - Fax:202-248-2713
Practice Address - Street 1:1214 I ST SE SUITE 11
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20003-4103
Practice Address - Country:US
Practice Address - Phone:202-758-3281
Practice Address - Fax:202-248-2713
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-16
Last Update Date:2013-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health