Provider Demographics
NPI:1821332529
Name:WILLIAMSON, GERMAIN HAKAN
Entity Type:Individual
Prefix:
First Name:GERMAIN
Middle Name:HAKAN
Last Name:WILLIAMSON
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 1:366 CAVOS WAY
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89014-3554
Mailing Address - Country:US
Mailing Address - Phone:702-752-6927
Mailing Address - Fax:
Practice Address - Street 1:366 CAVOS WAY
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89014-3554
Practice Address - Country:US
Practice Address - Phone:702-752-6927
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-19
Last Update Date:2012-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health