Individual
STEPHANIE VILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3625 UTICA RIDGE RD STE B, BETTENDORF, IA 52722-1653
(563) 359-6750
Mailing address
1601 EAGLES CREST AVE UNIT C1, DAVENPORT, IA 52804-5077
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/15/2024
Last updated
08/15/2024
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