Provider Demographics
NPI:1912911850
Name:CHASE WILLIAMS, GERALDINE MAE (MA LMFT)
Entity Type:Individual
Prefix:MRS
First Name:GERALDINE
Middle Name:MAE
Last Name:CHASE WILLIAMS
Suffix:
Gender:F
Credentials:MA LMFT
Other - Prefix:MRS
Other - First Name:GERALDINE
Other - Middle Name:MAE
Other - Last Name:CIRIMELE CHASE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4995 GOLDEN FOOTHILL PARKWAY, STE 2
Mailing Address - Street 2:
Mailing Address - City:EL DORADO HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:95762
Mailing Address - Country:US
Mailing Address - Phone:916-462-0521
Mailing Address - Fax:
Practice Address - Street 1:4998 GOLDEN FOOTHILL PARKWAY, STE 2
Practice Address - Street 2:
Practice Address - City:EL DORADO HILLS
Practice Address - State:CA
Practice Address - Zip Code:95762
Practice Address - Country:US
Practice Address - Phone:916-462-0521
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-28
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC35711106H00000X
CA35711106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist