Organization
CRISTAL VILLALOBOS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRISTAL MARIBEL VILLALOBOS LCSW (THERAPIST)
(559) 790-3251
Entity
Organization
Contact information
Practice address
216 E PINE ST, EXETER, CA 93221-1750
(559) 376-0763
Mailing address
758 N PALM ST, WOODLAKE, CA 93286-1023
(559) 790-3251
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LCS29336
CA
Other
Enumeration date
11/14/2016
Last updated
11/14/2016
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