Provider Demographics
NPI:1063049872
Name:MCWILLIAMS, JULIETTE (MS)
Entity type:Individual
Prefix:
First Name:JULIETTE
Middle Name:
Last Name:MCWILLIAMS
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:208 AUTUMN TRL
Mailing Address - Street 2:
Mailing Address - City:GORE
Mailing Address - State:VA
Mailing Address - Zip Code:22637-1864
Mailing Address - Country:US
Mailing Address - Phone:540-660-5723
Mailing Address - Fax:
Practice Address - Street 1:411 N CAMERON ST
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:VA
Practice Address - Zip Code:22601-6056
Practice Address - Country:US
Practice Address - Phone:540-665-4426
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-24
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0730000347101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health