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Individual

ELISEO VILLA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
16500 VENTURA BLVD STE 414, ENCINO, CA 91436-5050
(310) 691-4587
Mailing address
37330 MIMOSA WAY, PALMDALE, CA 93551-6189
(310) 691-4587

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary

Other

Enumeration date
03/21/2019
Last updated
03/21/2019
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