Individual
TOMAS VILLANUEVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
91 NORTHWEST DR, PLAINVILLE, CT 06062-1534
(860) 793-4415
Mailing address
46 CHERRY ST, WATERBURY, CT 06702-1617
(203) 808-5613
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/19/2007
Last updated
12/19/2007
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