Provider Demographics
NPI:1972802635
Name:WILLIAMS, DANAH ALEXANDRA (MFT)
Entity type:Individual
Prefix:MRS
First Name:DANAH
Middle Name:ALEXANDRA
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:DANAH
Other - Middle Name:ALEXANDRA
Other - Last Name:DAVIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:629 STATE ST
Mailing Address - Street 2:SUITE 243
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93101-7069
Mailing Address - Country:US
Mailing Address - Phone:805-804-5608
Mailing Address - Fax:805-456-0383
Practice Address - Street 1:629 STATE ST
Practice Address - Street 2:SUITE 243
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93101-7069
Practice Address - Country:US
Practice Address - Phone:805-804-5608
Practice Address - Fax:805-456-0383
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-21
Last Update Date:2015-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
CAMFC84078106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health