Provider Demographics
NPI:1386990851
Name:WILLIAMS, JAMIE LYNN (LMFT)
Entity type:Individual
Prefix:MS
First Name:JAMIE
Middle Name:LYNN
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1975 HAMILTON AVE
Mailing Address - Street 2:SUITE 32
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95125-5630
Mailing Address - Country:US
Mailing Address - Phone:408-921-7811
Mailing Address - Fax:
Practice Address - Street 1:1975 HAMILTON AVE
Practice Address - Street 2:SUITE 32
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95125-5630
Practice Address - Country:US
Practice Address - Phone:408-921-7811
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-01
Last Update Date:2016-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health