Judith Christy Williamson, LMFT-A

Individual provider Active NPI Marriage & Family Therapist · Devine, TX

NPI 1346731395 · NPPES record last updated May 25, 2018

Key facts

NPI
1346731395
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
203127 (TX)
Practice address
325 Malone Dr
Devine, TX 78016-1007
Phone
(210) 831-8860
NPI assigned
May 25, 2018
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
203127TXMDMarriage & Family Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 203127 TX Yes

Addresses

Primary practice location

325 Malone Dr
Devine, TX 78016-1007

Mailing address

PO Box 160
Devine, TX 78016-0160
Phone (210) 831-8860

Other providers in Devine, TX

All providers in Devine, TX · Marriage & Family Therapist in Texas

Sources for this page

Verify at the official NPI Registry.