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1679167845 NPI number — RENEE ANN WILLIAMS LMFT, LPCC

NPI Number: 1679167845
Health Care Provider/Practitioner: RENEE ANN WILLIAMS LMFT, LPCC

Information about “1679167845” NPI (RENEE ANN WILLIAMS LMFT, LPCC) exists in 1679167845 in HTML format HTML  |  1679167845 in plain Text format TXT  |  1679167845 in PDF (Portable Document Format) PDF  |  1679167845 in an XML format XML  formats.

NPI Number : 1679167845 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1679167845",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "WILLIAMS",
    "FirstName": "RENEE",
    "MiddleName": "ANN",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LMFT, LPCC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1119 S MISSION RD # 345",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "FALLBROOK",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "92028-3225",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "916-865-6833",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1544 EUREKA RD STE 280",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ROSEVILLE",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "95661-3093",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "916-865-6833",
    "PracticeLocationAddressFaxNumber": "480-542-5456",
    "EnumerationDate": "02/26/2021",
    "LastUpdateDate": "11/17/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": "03/24/2021",
    "NPIReactivationDate": "06/16/2021",
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "106H00000X",
          "TaxonomyName": "Marriage & Family Therapist",
          "LicenseNumber": "124536",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "106H00000X",
          "TaxonomyName": "Marriage & Family Therapist",
          "LicenseNumber": "8572",
          "LicenseNumberStateCode": "ID",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "106H00000X",
          "TaxonomyName": "Marriage & Family Therapist",
          "LicenseNumber": "15738",
          "LicenseNumberStateCode": "AZ",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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