Individual
AMANDA VANESSA VILLARREAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
TCM
Contact information
Practice address
1353 W MAIN ST, LEXINGTON, KY 40508-2065
(855) 591-0092
(502) 631-9660
Mailing address
853 E HIGH ST, LEXINGTON, KY 40502-2134
(859) 619-2711
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/06/2020
Last updated
04/06/2020
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