Provider Demographics
NPI:1871701904
Name:WILLIAMS, JUDITH M (LMFT)
Entity type:Individual
Prefix:DR
First Name:JUDITH
Middle Name:M
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7690 QUAIL SPRINGS ROAD
Mailing Address - Street 2:
Mailing Address - City:JOSHUA TREE
Mailing Address - State:CA
Mailing Address - Zip Code:92252
Mailing Address - Country:US
Mailing Address - Phone:760-341-2252
Mailing Address - Fax:760-366-0232
Practice Address - Street 1:74-040 HIGHWAY 111
Practice Address - Street 2:SUITE J1
Practice Address - City:PALM DESERT
Practice Address - State:CA
Practice Address - Zip Code:92260
Practice Address - Country:US
Practice Address - Phone:760-341-2252
Practice Address - Fax:760-366-0232
Is Sole Proprietor?:No
Enumeration Date:2007-05-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMX023276106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist