Individual
MS. JULIANN R VILLANUEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
1111 W FIR ST, PORTALES, NM 88130-5826
(575) 356-5112
Mailing address
122 CREST POINT DR, PORTALES, NM 88130-9057
(505) 749-0651
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
0122481
NM
Other
Enumeration date
10/25/2006
Last updated
02/03/2020
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