Individual
LETICIA ISABEL VILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
110 S C ST, LOMPOC, CA 93436-7340
(805) 741-7460
Mailing address
110 S C ST, LOMPOC, CA 93436-7340
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
02/24/2020
Last updated
05/14/2025
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