Provider Demographics
NPI:1215104203
Name:WILLIAMS, CHRISTINE JUDITH (MS,LLP)
Entity type:Individual
Prefix:MRS
First Name:CHRISTINE
Middle Name:JUDITH
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:MS,LLP
Other - Prefix:
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Mailing Address - Street 1:190 N MAIN ST
Mailing Address - Street 2:STE D
Mailing Address - City:PLYMOUTH
Mailing Address - State:MI
Mailing Address - Zip Code:48170-1236
Mailing Address - Country:US
Mailing Address - Phone:734-254-9380
Mailing Address - Fax:734-254-8795
Practice Address - Street 1:199 N MAIN ST
Practice Address - Street 2:SUITE 202
Practice Address - City:PLYMOUTH
Practice Address - State:MI
Practice Address - Zip Code:48170-1272
Practice Address - Country:US
Practice Address - Phone:734-254-9380
Practice Address - Fax:734-254-8795
Is Sole Proprietor?:No
Enumeration Date:2008-05-09
Last Update Date:2020-12-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI6301010868103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling