Mr Jerry Lee Williams, - Counselor in Los Angeles, CA

Mr Jerry Lee Williams, is a Counselor - Addiction (substance Use Disorder) based in Los Angeles, California. Mr Jerry Lee Williams is licensed to practice in * (Not Available) (license number ) and his current practice location is 4041 Marlton Ave, Suite 136, Los Angeles, California. He can be reached at his office (for appointments etc.) via phone at (323) 294-6400.

NPI number for Mr Jerry Lee Williams is 1902028087 and his current mailing address is 962 W 42nd Pl, Los Angeles, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1902028087.

Contact Information

Mr Jerry Lee Williams,
4041 Marlton Ave, Suite 136,
Los Angeles, CA 90008-2519
(323) 294-6400
(323) 294-6400

Map and Direction


Healthcare Provider's Profile

Full NameMr Jerry Lee Williams
GenderMale
SpecialityCounselor - Addiction (substance Use Disorder)
Location4041 Marlton Ave, Los Angeles, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1902028087
  • Provider Enumeration Date: 05/02/2007
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Mr Jerry Lee Williams such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1902028087NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) (* (Not Available))Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Jerry Lee Williams is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Jerry Lee Williams,
962 W 42nd Pl,
Los Angeles, CA 90037-2511

Ph: (323) 738-6172
Mr Jerry Lee Williams,
4041 Marlton Ave, Suite 136,
Los Angeles, CA 90008-2519

Ph: (323) 294-6400

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