Individual
VIRIDIANA VILLASENOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAMFT
Contact information
Practice address
4551 ROUTE 42 STE 5, BLACKWOOD, NJ 08012-1751
(856) 271-4490
Mailing address
83 PACIFIC ST APT 1, NEWARK, NJ 07105-1490
(201) 852-2830
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
37FA00050300
NJ
106H00000X
Marriage & Family Therapist
AMF000045
PA
Other
Enumeration date
01/28/2025
Last updated
01/28/2025
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