Provider Demographics
NPI:1922848878
Name:WILLIAMSON, CHRISTIAUNA S SR
Entity type:Individual
Prefix:MS
First Name:CHRISTIAUNA
Middle Name:S
Last Name:WILLIAMSON
Suffix:SR
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2584 CHERBOUGH WAY
Mailing Address - Street 2:APT H
Mailing Address - City:GASTONIA
Mailing Address - State:NC
Mailing Address - Zip Code:28056
Mailing Address - Country:US
Mailing Address - Phone:704-898-9094
Mailing Address - Fax:
Practice Address - Street 1:2584 CHERBOUGH WAY
Practice Address - Street 2:APT H
Practice Address - City:GASTONIA
Practice Address - State:NC
Practice Address - Zip Code:28056
Practice Address - Country:US
Practice Address - Phone:704-898-9094
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-29
Last Update Date:2024-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician