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Individual

ANNIE VILLANUEVA VILLALON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
798 HILLTOP DR, CHULA VISTA, CA 91911-1504
(619) 694-9304
Mailing address
1180 THIRD AVE STE C3, CHULA VISTA, CA 91911-3139
(619) 691-8164

Taxonomy

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

Other

Enumeration date
07/21/2017
Last updated
07/21/2022
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