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NPI Code Detail

MEDICARE: KANIECIA LASHEA WILLIAMS M.S.

MEDICARE: KANIECIA LASHEA WILLIAMS M.S.
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
1101YM0800XMental Health CounselorCA
2101YM0800XMental Health CounselorIMF 63143CA
3106H00000XMarriage & Family TherapistIMF 63143CA
4106H00000XMarriage & Family Therapist94323CA

General Provider Information

NPI Number : 1508182304
Entity Type Code : Individual
Provider Name (Legal Business Name) : KANIECIA LASHEA WILLIAMS M.S.
Provider Business Mailing Address
First Line : 5198 ARLINGTON AVE # 106
Second Line :
City : RIVERSIDE
State : CA
Zip : 92504-2603
Country : US
Telephone Number : 951-796-3621
Fax Number :
Provider Business Practice Location Address
First Line : 9500 HAVEN AVE STE 100
Second Line :
City : RANCHO CUCAMONGA
State : CA
Zip : 91730-5871
Country : US
Telephone Number : 909-980-6700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/19/2010
Last Update Date : 02/24/2026

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