Provider Demographics
NPI:1659693091
Name:WILLIAMS, JOHN-MICHAEL
Entity Type:Individual
Prefix:MR
First Name:JOHN-MICHAEL
Middle Name:
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 1:5015 3RD ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94124-2311
Mailing Address - Country:US
Mailing Address - Phone:415-822-1585
Mailing Address - Fax:415-822-6443
Practice Address - Street 1:5015 3RD ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94124-2311
Practice Address - Country:US
Practice Address - Phone:415-822-1585
Practice Address - Fax:415-822-6443
Is Sole Proprietor?:No
Enumeration Date:2010-02-26
Last Update Date:2010-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor