Provider Demographics
NPI:1336574896
Name:WILLIAMS, SHARON ANN (MS IMFT)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:ANN
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:MS IMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7025 N CHESTNUT AVE
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93720-0351
Mailing Address - Country:US
Mailing Address - Phone:559-840-1012
Mailing Address - Fax:559-840-1070
Practice Address - Street 1:7025 N CHESTNUT AVE
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93720-0351
Practice Address - Country:US
Practice Address - Phone:559-840-1012
Practice Address - Fax:559-840-1070
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-03
Last Update Date:2021-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAIMF 74123106H00000X
CALMFT115117106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist