Individual
JASON MATTHEW VILLALOBOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12501 CHANDLER BLVD STE 102, VALLEY VILLAGE, CA 91607-1955
(818) 821-6012
Mailing address
12501 CHANDLER BLVD STE 102, VALLEY VILLAGE, CA 91607-1955
(818) 821-6012
Taxonomy
Speciality
Code
Description
License number
State
103TF0200X
Forensic Psychologist
Primary
—
—
Other
Enumeration date
02/22/2022
Last updated
02/22/2022
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