Provider Demographics
NPI:1245529403
Name:JAMES, WILLIAM HENRY (PHD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:HENRY
Last Name:JAMES
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:DR
Other - First Name:WILLIAM
Other - Middle Name:HENRY
Other - Last Name:JAMES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD
Mailing Address - Street 1:2502 TACOMA AVE S
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98402-1310
Mailing Address - Country:US
Mailing Address - Phone:253-759-0852
Mailing Address - Fax:253-752-0514
Practice Address - Street 1:2502 TACOMA AVE S
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98402-1310
Practice Address - Country:US
Practice Address - Phone:253-759-0852
Practice Address - Fax:253-752-0514
Is Sole Proprietor?:No
Enumeration Date:2011-03-28
Last Update Date:2011-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA00000706101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)