Individual
BRENDA ESMERALDA VILLALOBOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1901 E CENTER ST, ANAHEIM, CA 92805-3457
(714) 780-0750
Mailing address
16950 GRAMERCY PL SPC 67A, GARDENA, CA 90247-5236
(310) 903-6928
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00000
—
CA
Enumeration date
06/01/2018
Last updated
06/01/2018
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