Provider Demographics
NPI:1386970028
Name:WILLIAMS, KAREN E (PHD)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:E
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:218A SUNSET RD
Mailing Address - Street 2:SCREENING, CRISIS & INTERVENTION PROGRAM
Mailing Address - City:WILLINGBORO
Mailing Address - State:NJ
Mailing Address - Zip Code:08046-1110
Mailing Address - Country:US
Mailing Address - Phone:609-835-6180
Mailing Address - Fax:609-835-7962
Practice Address - Street 1:218A SUNSET RD
Practice Address - Street 2:SCREENING, CRISIS & INTERVENTION PROGRAM
Practice Address - City:WILLINGBORO
Practice Address - State:NJ
Practice Address - Zip Code:08046-1110
Practice Address - Country:US
Practice Address - Phone:609-835-6180
Practice Address - Fax:609-835-7962
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-31
Last Update Date:2009-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ101YM0800X, 1041C0700X, 174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No174400000XOther Service ProvidersSpecialist