Individual
CASEY VILLESCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
115 E 1ST ST STE 120, DIXON, IL 61021-3023
(773) 930-0994
Mailing address
1412 E 36TH ST, STERLING, IL 61081-4023
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
07/17/2019
Last updated
07/17/2019
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