MEDICARE: MS. MICHELLE YVETTE WILLIAMS AA

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	101Y00000X	Counselor
2	101YM0800X	Mental Health Counselor
3	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1588716344
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MICHELLE YVETTE WILLIAMS AA

Provider Business Mailing Address
First Line	:	43 LATONA ST
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94124-2341
Country	:	US
Telephone Number	:	800-469-3019
Fax Number	:	650-620-9549

Provider Business Practice Location Address
First Line	:	957 INDUSTRIAL RD
Second Line	:
City	:	SAN CARLOS
State	:	CA
Zip	:	94070-4151
Country	:	US
Telephone Number	:	415-375-7619
Fax Number	:	650-620-9556

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

Provider Enumeration Date	:	01/18/2007
Last Update Date	:	09/11/2025

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