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Individual
GLORIA VILLANUEVA
Active
Individual
GLORIA VILLANUEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LMHC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CTB-2022-0263
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
35650338
—
NM
Enumeration date
02/07/2023
Last updated
02/07/2023
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