MEDICARE: TAMARA WILLIAMS

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	101Y00000X	Counselor
2	175T00000X	Peer Specialist

General Provider Information

NPI Number	:	1366910804
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TAMARA WILLIAMS

Provider Business Mailing Address
First Line	:	515 3RD AVE
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98104-2304
Country	:	US
Telephone Number	:	206-807-0251
Fax Number	:

Provider Business Practice Location Address
First Line	:	12736 33RD AVE NE
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98125-4504
Country	:	US
Telephone Number	:	253-833-7444
Fax Number	:

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

Provider Enumeration Date	:	11/02/2018
Last Update Date	:	08/22/2025

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Directions to “ TAMARA WILLIAMS ” Practice Location

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