MR. JERRY LEE WILLIAMS
NPI 1902028087
Counselor - Addiction (Substance Use Disorder) in Los Angeles, CA

Active since May 02, 2007
4041 MARLTON AVE, SUITE 136, LOS ANGELES, CA 90008(323) 294-6400(323) 294-6400 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Jerry Lee Williams NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JERRY LEE WILLIAMS (NPI 1902028087) is an individual addiction (substance use disorder) provider in Los Angeles, California and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1902028087
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. JERRY LEE WILLIAMS
Location Address4041 MARLTON AVE, SUITE 136Los Angeles, CA 90008-2519
Mailing Address962 W 42nd PlLos Angeles, CA 90037-2511 · (323) 738-6172 · Fax (323) 294-6400
Fax(323) 294-6400
Sole ProprietorNo
Enumeration DateMay 2, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1902028087 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
4041 MARLTON AVE, Los Angeles, CA 90008

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Community/Behavioral Health
4041 MARLTON AVE, SUITE 136
LOS ANGELES, CA 90008
Counselor (Addiction (Substance Use Disorder))
4041 MARLTON AVE, SUITE 136
LOS ANGELES, CA 90008
Counselor (Addiction (Substance Use Disorder))
4041 MARLTON AVE, SUITE 136
LOS ANGELES, CA 90008
Counselor (Addiction (Substance Use Disorder))
4041 MARLTON AVE, SUITE 136
LOS ANGELES, CA 90008
Counselor (Addiction (Substance Use Disorder))
4041 MARLTON AVE, 136
LOS ANGELES, CA 90008
Counselor (Addiction (Substance Use Disorder))
4041 MARLTON AVE, SUITE 136
LOS ANGELES, CA 90008
Counselor (Addiction (Substance Use Disorder))
4041 MARLTON AVE, 136
LOS ANGELES, CA 90008

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jerry Williams's NPI number?

The NPI number for Jerry Williams is 1902028087. It was assigned to this individual provider in the NPPES registry on May 2, 2007.

Where is Jerry Williams located?

Jerry Williams practices at 4041 Marlton Ave Suite 136, Los Angeles, CA 90008. The listed phone number is (323) 294-6400.

What is Jerry Williams's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Jerry Williams was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.