Williams, Gemma Lara De Blas

Williams, Gemma Lara De Blas is an sole proprietor health care provider with primary practice located at 17350 Mount Herrmann St Suite A, Fountain Valley CA 92708-4114. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Williams, Gemma Lara De Blas can be contacted via phone (714) 444-3463.

Contact Information

Primary practice address
17350 Mount Herrmann St Suite A Fountain Valley CA 92708-4114
Phone: (714) 444-3463
Fax: (714) 444-1768
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X ASW 22065 California
Behavioral Health & Social Service Providers / Clinical 1041C0700X CSW 6608769-3502 Utah
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCSW 26161 California

Profile Details

NPI number 1124218409
LBN Legal business name Williams, Gemma Lara De Blas
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 1st, 2007
Last updated Aug 2nd, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers