Provider Demographics
NPI:1992484042
Name:WILLIAMS, KRISTAL (LMHC)
Entity type:Individual
Prefix:
First Name:KRISTAL
Middle Name:
Last Name:WILLIAMS
Suffix:
Gender:
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2950 NEWMARKET ST # 101-342
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98226-3811
Mailing Address - Country:US
Mailing Address - Phone:360-389-2048
Mailing Address - Fax:
Practice Address - Street 1:2950 NEWMARKET ST # 101-342
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98226-3811
Practice Address - Country:US
Practice Address - Phone:360-389-2048
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-17
Last Update Date:2025-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YP2500X
WALH61634414101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional