Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YM0800X | Mental Health Counselor | ||
N | 102L00000X | Psychologist | ||
N | 103T00000X | Psychologist |
NPI | 1013079953 |
---|---|
Provider Name | Dr. Carron Steffanie Williams |
First Address | Long Beach, CA 90807-5062 |
Second Address | Long Beach, CA 90807-5062 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/12/2006 |
Last Update Date | 20/05/2020 |