Healthcare Provider Details

I. General information

NPI: 1578193652
Provider Name (Legal Business Name): ERIC DANIEL WILLIAMS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: ERIC DANIEL WILLIAMS LMFT

II. Dates (important events)

Enumeration Date: 01/17/2020
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7224 S RECOVERY RD
FRENCH CAMP CA
95231-8901
US

IV. Provider business mailing address

7224 S RECOVERY RD
FRENCH CAMP CA
95231-8901
US

V. Phone/Fax

Practice location:
  • Phone: 209-888-6595
  • Fax:
Mailing address:
  • Phone: 209-888-6595
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number162684
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: