Provider Demographics
NPI:1134964661
Name:WILLIAMS, CAITLIN (MFT TRAINEE)
Entity type:Individual
Prefix:
First Name:CAITLIN
Middle Name:
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:MFT TRAINEE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:567 I ST
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:CA
Mailing Address - Zip Code:95648-1736
Mailing Address - Country:US
Mailing Address - Phone:916-712-3598
Mailing Address - Fax:
Practice Address - Street 1:110 GATEWAY DR
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:CA
Practice Address - Zip Code:95648-3304
Practice Address - Country:US
Practice Address - Phone:916-408-6599
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-26
Last Update Date:2025-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program