Individual
JESSE VILLANUEBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
150 MERCURY VILLAGE DR, DURANGO, CO 81301-8955
(970) 335-2342
(970) 335-2438
Mailing address
PO BOX 1328, DURANGO, CO 81302-1328
(970) 335-2342
(970) 335-2438
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
ACD.0002096
CO
1041C0700X
Clinical Social Worker
Primary
CSW.09930906
CO
Other
Enumeration date
10/21/2022
Last updated
02/11/2026
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