Individual
FABIAN VILLALOBOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4225 OFFICE PKWY, DALLAS, TX 75204-3628
(214) 821-6505
(214) 821-6504
Mailing address
4225 OFFICE PKWY, DALLAS, TX 75204-3628
(214) 821-6505
(214) 821-6504
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
231977514
—
TX
Enumeration date
09/12/2011
Last updated
09/12/2011
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