MEDICARE: MRS. WANDA YVETTE WILLIAMS APCC, AMFT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	9195	CA
2	101YM0800X	Mental Health Counselor	135274	CA

General Provider Information

NPI Number	:	1336580505
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. WANDA YVETTE WILLIAMS APCC, AMFT

Provider Business Mailing Address
First Line	:	25910 ACERO STE 160
Second Line	:
City	:	MISSION VIEJO
State	:	CA
Zip	:	92691-2777
Country	:	US
Telephone Number	:	877-527-7227
Fax Number	:

Provider Business Practice Location Address
First Line	:	1012 E COOLEY DR STE B2
Second Line	:
City	:	COLTON
State	:	CA
Zip	:	92324-3959
Country	:	US
Telephone Number	:	909-572-3154
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/16/2013
Last Update Date	:	06/02/2026

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