Individual
MISS ANA ANGELICA VILLASENOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 EMELINE AVE, 1400EMELINE AVE, SANTA CRUZ, CA 95060-1976
(831) 454-5034
Mailing address
1400 EMELINE AVE, 1400EMELINE AVE, SANTA CRUZ, CA 95060-1976
(831) 454-5034
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
N3001381
DRVER'S LIC #
CA
Enumeration date
06/14/2007
Last updated
07/08/2007
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