Individual
SUSANA VILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MC, LPC
Contact information
Practice address
4601 E FORT LOWELL RD STE 131, TUCSON, AZ 85712-1183
(520) 396-4413
(520) 396-4764
Mailing address
4601 E FORT LOWELL RD STE 131, TUCSON, AZ 85712-1183
(520) 396-4413
(520) 396-4764
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-14201
AZ
Other
Enumeration date
03/09/2015
Last updated
12/10/2024
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