Provider Demographics
NPI:1336155464
Name:WILLIAMS, GERMAINE DEBRA (CAC)
Entity Type:Individual
Prefix:MS
First Name:GERMAINE
Middle Name:DEBRA
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:CAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:514 N COURT ST
Mailing Address - Street 2:
Mailing Address - City:OPELOUSAS
Mailing Address - State:LA
Mailing Address - Zip Code:70570-5220
Mailing Address - Country:US
Mailing Address - Phone:337-948-0228
Mailing Address - Fax:337-948-0303
Practice Address - Street 1:514 N COURT ST
Practice Address - Street 2:
Practice Address - City:OPELOUSAS
Practice Address - State:LA
Practice Address - Zip Code:70570-5220
Practice Address - Country:US
Practice Address - Phone:337-948-0228
Practice Address - Fax:337-948-0303
Is Sole Proprietor?:No
Enumeration Date:2006-07-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LACAC 1052101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)