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Individual

STEPHANIE YVETTE VILLA

Active
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Individual

STEPHANIE YVETTE VILLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R1231900616

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
A051290819
CA
101YA0400X
Addiction (Substance Use Disorder) Counselor
R1231900616
CA
172V00000X
Community Health Worker
Primary
A051290819
CA

Other

Enumeration date
05/16/2016
Last updated
02/20/2024
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