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Individual

ALFREDO VILLALBA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
BSHS, CAS II, CATS,

Contact information

Practice address
504 W VISTA WAY, VISTA, CA 92083-5704
(760) 940-1836
(760) 940-1274
Mailing address
504 W VISTA WAY, VISTA, CA 92083-5704
(760) 940-1836
(760) 940-1274

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
510020 SD
CA

Other

Enumeration date
05/11/2007
Last updated
07/08/2007
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