NPI 1184930588

Mickey Dale Williams, LMFT

Practitioner Marriage & Family Therapist Roseburg, OR

Practice location

Address: 621 W Madrone St, Roseburg, OR 97470-3090
Phone: (541) 440-3532

Registered specialties (2)

Marriage & Family Therapist Primary

Behavioral Health & Social Service Providers Taxonomy 106H00000X Licence T0822 (OR)

Other Marriage & Family Therapist providers in Oregon →

Marriage & Family Therapist

Behavioral Health & Social Service Providers Taxonomy 106H00000X Licence 201399 (TX)

Registry record

NPI: 1184930588
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Aug 2010
Record last updated: 10 Aug 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.