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General NPI Number Information
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NPI Number | 1750623666
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Entity Type | Individual
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Provider Name | MICHELLE WILLIAMSON MS
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Gender | Female
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Dates
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Enumeration Date | 03/19/2013
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Last Update Date | 06/04/2025
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Provider Practice Location Address
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Address Line | 344 DIVISION ST STE 205
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City | PLEASANTON
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State | CA
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Zip | 94566-6893
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Country | US
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Telephone | 570-852-1076
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Fax |
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Provider Business Mailing Address
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Address Line | 6819 PASEO SANTA CRUZ
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City | PLEASANTON
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State | CA
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Zip | 94566-5757
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Country | US
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Telephone | 570-852-1076
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 94588
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 71564
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 98047
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License Number State | CA
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