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Individual
WILSON GIOVANNI VILLANUEVA
Active
Individual
WILSON GIOVANNI VILLANUEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A., ED.S., LMHC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
12912
FL
171M00000X
Case Manager/Care Coordinator
CBHCMS100660
FL
Other
Enumeration date
08/27/2009
Last updated
05/24/2021
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