Provider Demographics
NPI:1396542726
Name:WILLIAMS, CHRIS A (CDCA)
Entity type:Individual
Prefix:MR
First Name:CHRIS
Middle Name:A
Last Name:WILLIAMS
Suffix:
Gender:M
Credentials:CDCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:68 N TRENTON ST
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45417-1725
Mailing Address - Country:US
Mailing Address - Phone:937-204-8024
Mailing Address - Fax:
Practice Address - Street 1:3559 STANFORD PL
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45406-3641
Practice Address - Country:US
Practice Address - Phone:937-204-8024
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-25
Last Update Date:2025-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCDCA.188485101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)