Individual
DIVANA VILLARREAL ESPARZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
45325 BIRCH ST, INDIO, CA 92201-3740
(760) 399-2019
Mailing address
40835 AETNA SPRINGS ST, INDIO, CA 92203-3079
(760) 399-2019
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
06/02/2015
Last updated
11/30/2023
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