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Individual
MISS JUANA ISABEL VILLAR-GOMEZ
Active
Individual
MISS JUANA ISABEL VILLAR-GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW, CDP
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
20908
NY
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP60483694
WA
104100000X
Social Worker
079803
NY
1041C0700X
Clinical Social Worker
LW60484946
WA
1041S0200X
School Social Worker
LW60484946
WA
Other
Enumeration date
02/26/2010
Last updated
02/10/2023
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