MEDICARE: SHARON ANN WILLIAMS MS IMFT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	IMF 74123	CA
2	106H00000X	Marriage & Family Therapist	LMFT115117	CA

General Provider Information

NPI Number	:	1336574896
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHARON ANN WILLIAMS MS IMFT

Provider Business Mailing Address
First Line	:	7025 N CHESTNUT AVE
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93720-0351
Country	:	US
Telephone Number	:	559-840-1012
Fax Number	:	559-840-1070

Provider Business Practice Location Address
First Line	:	7025 N CHESTNUT AVE
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93720-0351
Country	:	US
Telephone Number	:	559-840-1012
Fax Number	:	559-840-1070

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/03/2013
Last Update Date	:	01/20/2021

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