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Individual
ANDREA VILLALOBOS
Active
Individual
ANDREA VILLALOBOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPCC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CCMH0219141
NM
101YM0800X
Mental Health Counselor
CTL0197211
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33928037
—
NM
05
—
35650338
—
NM
Enumeration date
12/29/2015
Last updated
08/17/2021
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