Provider Demographics
NPI:1760350870
Name:WILLIAMS, CHRISTINA M (AOD COUNSELING)
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:M
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:AOD COUNSELING
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8763 MESA BROOK WAY
Mailing Address - Street 2:
Mailing Address - City:ELK GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:95624-3402
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:8763 MESA BROOK WAY
Practice Address - Street 2:
Practice Address - City:ELK GROVE
Practice Address - State:CA
Practice Address - Zip Code:95624-3402
Practice Address - Country:US
Practice Address - Phone:916-268-2565
Practice Address - Fax:916-268-2565
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-29
Last Update Date:2025-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)