Provider Demographics
NPI:1891134391
Name:WILLIAMS, FRANK
Entity Type:Individual
Prefix:
First Name:FRANK
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 1:1025 W AVENUE I
Mailing Address - Street 2:SUITE 80
Mailing Address - City:LANCASTER
Mailing Address - State:CA
Mailing Address - Zip Code:93534-2243
Mailing Address - Country:US
Mailing Address - Phone:661-208-5386
Mailing Address - Fax:
Practice Address - Street 1:1025 W AVENUE I
Practice Address - Street 2:SUITE 80
Practice Address - City:LANCASTER
Practice Address - State:CA
Practice Address - Zip Code:93534-2243
Practice Address - Country:US
Practice Address - Phone:661-208-5386
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-18
Last Update Date:2013-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral