Provider Demographics
NPI:1063530285
Name:WILLIAMS, ALICE MAUREEN (LPC, LMFT)
Entity type:Individual
Prefix:MS
First Name:ALICE
Middle Name:MAUREEN
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:LPC, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2850 CEDAR HILLS BLVD.
Mailing Address - Street 2:BOX 137
Mailing Address - City:BEAVERTON
Mailing Address - State:OR
Mailing Address - Zip Code:97005
Mailing Address - Country:US
Mailing Address - Phone:503-227-2150
Mailing Address - Fax:888-972-8764
Practice Address - Street 1:12655 SW CENTER STREET
Practice Address - Street 2:SUITE 470
Practice Address - City:BEAVERTON
Practice Address - State:OR
Practice Address - Zip Code:97005
Practice Address - Country:US
Practice Address - Phone:503-227-2150
Practice Address - Fax:888-972-8764
Is Sole Proprietor?:No
Enumeration Date:2007-03-26
Last Update Date:2016-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA40724106H00000X
ORT0596106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist