Provider Demographics
NPI:1982221966
Name:WILLIAMS, SIERRA NOELLE (MSW, QMHP)
Entity Type:Individual
Prefix:MRS
First Name:SIERRA
Middle Name:NOELLE
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:MSW, QMHP
Other - Prefix:MISS
Other - First Name:SIERRA
Other - Middle Name:NOELLE
Other - Last Name:DIRKSEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BA
Mailing Address - Street 1:3867 WOLVERINE ST NE BLDG F
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97305-4266
Mailing Address - Country:US
Mailing Address - Phone:503-566-2927
Mailing Address - Fax:503-576-4591
Practice Address - Street 1:3867 WOLVERINE ST NE BLDG F
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97305-4266
Practice Address - Country:US
Practice Address - Phone:503-566-2927
Practice Address - Fax:503-576-4591
Is Sole Proprietor?:No
Enumeration Date:2020-06-25
Last Update Date:2020-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health