Individual
CARLOS VILLANUEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1137 W 6TH ST, LOS ANGELES, CA 90017-1828
(213) 250-1005
(213) 250-1006
Mailing address
1137 W. 6TH ST., LOS ANGELES, CA 90017
(213) 250-1005
(213) 250-1006
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
04/27/2007
Last updated
07/08/2007
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