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NPI Code Detail

MEDICARE: MR. RONNIE WILLIAMS AMFT154471 APCC19081

MEDICARE: MR. RONNIE WILLIAMS AMFT154471 APCC19081
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
1101YA0400XAddiction (Substance Use Disorder) Counselor6107CA
2101YP2500XProfessional CounselorAPCC19081CA
3106H00000XMarriage & Family TherapistAMFT154471CA

General Provider Information

NPI Number : 1346709995
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. RONNIE WILLIAMS AMFT154471 APCC19081
Provider Business Mailing Address
First Line : PO BOX 117
Second Line :
City : POWAY
State : CA
Zip : 92074-0117
Country : US
Telephone Number : 619-438-3490
Fax Number :
Provider Business Practice Location Address
First Line : 2271 ALPINE BLVD STE A
Second Line :
City : ALPINE
State : CA
Zip : 91901-1101
Country : US
Telephone Number : 619-448-1216
Fax Number : 888-291-4799
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/13/2019
Last Update Date : 06/04/2026

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