Most Relevant Information
Provider Data
NPI Number: | 1003440546 |
Provider Name: | JESSICA MONAE WILLIAMS |
Entity Type: | Individual |
Taxonomy Code: | 101YM0800X |
Specialty: | Counselor |
License Number: | 131300 |
Most Important Dates
Enumeration Date: | 02/24/2020 |
Last Updated: | 01/12/2023 |
Provider Practice Location
1266 14TH ST
OAKLAND
CA
946072247
Practice Location Phone/Fax
Phone: | 5102734700 |
Fax: |
Provider Mailing Location
1266 14TH ST
OAKLAND
CA
946072247
Provider Mailing Phone/Fax
Phone: | 5102734700 |
Fax: |