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1649620436 NPI number — LISA M WILLIAMS CADC-II: QMHA-I

NPI Number: 1649620436
Health Care Provider/Practitioner: LISA M WILLIAMS CADC-II: QMHA-I

Information about “1649620436” NPI (LISA M WILLIAMS CADC-II: QMHA-I) exists in 1649620436 in HTML format HTML  |  1649620436 in plain Text format TXT  |  1649620436 in PDF (Portable Document Format) PDF  |  1649620436 in an XML format XML  formats.

NPI Number : 1649620436 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1649620436",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "WILLIAMS",
    "FirstName": "LISA",
    "MiddleName": "M",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "CADC-II: QMHA-I",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "LONG",
    "OtherFirstName": "LISA",
    "OtherMiddleName": "MARIE",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "CADC-I: QMHA-I",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "6605 SE LAKE RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MILWAUKIE",
    "MailingAddressStateName": "OR",
    "MailingAddressPostalCode": "97222-2161",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "503-655-8401",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "6605 SE LAKE RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MILWAUKIE",
    "PracticeLocationAddressStateName": "OR",
    "PracticeLocationAddressPostalCode": "97222-2161",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "503-655-8401",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/13/2016",
    "LastUpdateDate": "10/14/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "101YM0800X",
          "TaxonomyName": "Mental Health Counselor",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "101YA0400X",
          "TaxonomyName": "Addiction (Substance Use Disorder) Counselor",
          "LicenseNumber": "24-01-10993",
          "LicenseNumberStateCode": "OR",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "171M00000X",
          "TaxonomyName": "Case Manager/Care Coordinator",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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