Provider Demographics
NPI:1710873245
Name:WILLIAMS, KAMILLE M (DHA)
Entity type:Individual
Prefix:DR
First Name:KAMILLE
Middle Name:M
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:DHA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1099 E CHAMPLAIN DR STE A1122
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93720-5030
Mailing Address - Country:US
Mailing Address - Phone:323-742-8537
Mailing Address - Fax:
Practice Address - Street 1:3025 W SHAW AVE STE 108
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93711-3211
Practice Address - Country:US
Practice Address - Phone:323-742-8537
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-12
Last Update Date:2025-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor