Individual
ALLENE VILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MFT
Contact information
Practice address
218 CARMEN LN STE 108, SANTA MARIA, CA 93458-7773
(805) 904-8259
Mailing address
1641 14TH ST, OCEANO, CA 93445-9421
(805) 904-8259
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/07/2011
Last updated
08/28/2012
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