MEDICARE: NANCY WILLIAMS MFT

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	101YM0800X	Mental Health Counselor	MFC33330	CA

General Provider Information

NPI Number	:	1831947662
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NANCY WILLIAMS MFT

Provider Business Mailing Address
First Line	:	PO BOX 2323
Second Line	:
City	:	SANTA MARIA
State	:	CA
Zip	:	93457-2323
Country	:	US
Telephone Number	:	805-714-6407
Fax Number	:

Provider Business Practice Location Address
First Line	:	2627 SKYWAY DR
Second Line	:
City	:	SANTA MARIA
State	:	CA
Zip	:	93455-1405
Country	:	US
Telephone Number	:	805-714-6407
Fax Number	:

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

Provider Enumeration Date	:	05/07/2024
Last Update Date	:	05/07/2024

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