Healthcare Provider Details

I. General information

NPI: 1265748636
Provider Name (Legal Business Name): JULIE KRISTINE WILLIAMS PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/24/2010
Last Update Date: 08/18/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

925 YGNACIO VALLEY RD SUITE 102A
WALNUT CREEK CA
94596-3875
US

IV. Provider business mailing address

925 YGNACIO VALLEY RD SUITE 102A
WALNUT CREEK CA
94596-3875
US

V. Phone/Fax

Practice location:
  • Phone: 925-433-2136
  • Fax:
Mailing address:
  • Phone: 925-433-2136
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY27503
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: