Provider Demographics
NPI:1588270375
Name:WILLIAMS, JAYE CAMERON
Entity type:Individual
Prefix:
First Name:JAYE
Middle Name:CAMERON
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:PO BOX 11354
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93389-1354
Mailing Address - Country:US
Mailing Address - Phone:661-663-0898
Mailing Address - Fax:661-589-2912
Practice Address - Street 1:12010 ROARING RIVER AVE
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93311-9308
Practice Address - Country:US
Practice Address - Phone:661-663-0898
Practice Address - Fax:661-589-2912
Is Sole Proprietor?:No
Enumeration Date:2020-09-17
Last Update Date:2020-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health