Provider Demographics
NPI:1104175561
Name:WILLIAMS, CAMERON A
Entity type:Individual
Prefix:
First Name:CAMERON
Middle Name:A
Last Name:WILLIAMS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1679 S DUPONT HWY
Mailing Address - Street 2:SUITE 8
Mailing Address - City:DOVER
Mailing Address - State:DE
Mailing Address - Zip Code:19901-5101
Mailing Address - Country:US
Mailing Address - Phone:302-588-5076
Mailing Address - Fax:
Practice Address - Street 1:1679 S DUPONT HWY
Practice Address - Street 2:SUITE 8
Practice Address - City:DOVER
Practice Address - State:DE
Practice Address - Zip Code:19901-5101
Practice Address - Country:US
Practice Address - Phone:302-588-5076
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-31
Last Update Date:2012-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)