Individual
CARLOS RAFAEL VILLACIS ACOSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1224 HALSEY ST, VALLEJO, CA 94590-3063
(415) 408-1797
Mailing address
8945 GOLF LINKS RD, OAKLAND, CA 94605-4124
(510) 317-1444
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
225400000X
Rehabilitation Practitioner
Primary
—
—
247200000X
Other Technician
—
—
Other
Enumeration date
06/08/2020
Last updated
05/14/2025
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